John Dusty Pollard, Vernon Parish Louisiana
Submitted by Bill Mccullough
Date: June 2, 2008

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Louisiana State Board Of Health
Bureau of Public Health Statistics
Certificate of Death
State File No. 522 1455

1. Last Name: Pollard  
   First Name: John
   Second Name: Dusty
2. Date of Death (Month Day Year Hour): 12-28-45 10PM
3. Sex: Male
4. Color or Race: White
5. Single, Married, Widowed or Divorced: Married
5a. Name of Husband of (or) Wife of: Della Pollard 
   Age: 60
6. Date of Birth of Deceased: Oct 25-1880
7. Age: 65 Years 2 Month 3 Days
8. Occupation of Deceased: Blank
9. Birthplace: Vernon Parish La
10. Occupation: Farming
11. Industry or Business: Farm
12. Social Security Number: (Check Mark)
13. If veteran name war: No
14. Place of Death, City or Town: Oakdale
15. Parish and Ward No.: Allen 5
16. Length of stay in this community: 6 days
17. Name of Hospital: Hargrove Clinic
18. Length of stay: 6 days
19. Usual Residence of Deceased (City or Town): Pitkin
20. Parish and Ward: Vernon 5
21. State: La
22. Street Address: Blank
23. Is deceased a citizen of a foreign country: No
24. Name of Father: Littie? Pollard
25. Birthplace of Father: La
26. Maiden Name of Mother: Leatham Martin
27. Birthplace of Mother: La
I certify that the above stated information is true and correct to 
the best of my knowledge. 
28. Signature of Informant: Mrs Pollie Brinkley  
29. Date of Signature: 12/28/45
  
Cause of Death
30. Immediate Cause of Death: apoplexy
31. Due to: Blank
 Date of Death: 4 8 1921
41. I Hereby Certify, That I attended the deceased from
   Dec 23 to Dec 28-45 that I last saw him alive
   on 4 8 1921 and that death occured, on the date 
   and hour stated above
42. M V Hargrove MD
43. Date of Signature: 12-28-45
44. Burial 12/29/45   
45. Place of Burial, Cremation: Blue Branch
46. Signature of Funeral Director: illegible
47. Signature of Local Registar: ? Sutherlin, DY
Burial Transit Permit
48. Burial Transit Permit Number: 205
49. Parish of Issue: Allen
50. Date of Issue: 12/28/45