Vital Records: C.M. Moffett, Sr. death certificate, 1988, Winn Parish, LA
Submitted by: Leah Wright Talbot, 591 Brookside Drive, Longmont CO  80501
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State of Louisiana Certificate of Death
State File No. 117 88 03 751

Last name of deceased           Moffett, Sr.
First name                                      Clifford
Second name                     Mahlon  
Date of death                   Feb. 4, 1988
Time of death                   6:25 pm
Sex                             Male
Color or race                   White
Marital status                  Married
Surviving spouse                Nita Terral
Date of birth of deceased       April 19, 1906
Age of deceased                 81 years
Birthplace                      Dodson, La.
Citizen of what country         U.S.A.
Usual occupation                Retired pumper/gauger
Kind of industry or business    Oil
Ever in U.S. Armed Forces?      No
Social Security Number          XXXXXXXXXXXXXX
Place of death: 
City, town, or location         Jennings
Parish                          Jefferson Davis
Name of hospital or institution Jennings American Legion Hospital
Inpatient/OP/Emer. Rm./DOA      Inpatient
Is place of death inside city limits?   Yes
Place of residence:
City or town                    Jennings
Parish                          Acadia
State                           Louisiana
Street Address (if rural, give location)      Route 2, Box 149
Is residence inside city limits?      No
Name of father                  Nathan Moffett
Birthplace of father            Dodson, La.
Maiden name of mother           Laurissa Chambliss
Birthplace of mother            Dodson, La.
Signature/address of informant  Clifford M. Moffett, Jr., Route 2, Box 149, 
                                Jennings, La. 70546
Date of signature               Feb. 5, 1988
Cause of death                  Cerebro vascular accident
Interval between onset and death      8 hours
Physician attended the dec. from      1959 to 2/4/88
Signature of physician          L. Ancelet MD
Date of signature               2/12/88
Burial/cremation/removal        burial
Date thereof                    2-8-88
Name and location of cemetery   Transport Cemetery, Dodson, La., rural
Signature and address of
funeral director                Miguez Funeral Home, P.O. Box 782, 
                                Jennings, La. 70546
License number                   E-683
Burial transit permit number     154681
Parish of issue                  Jeff Davis
Date of issue                    Feb. 5, 1988
Signature of local registrar     Linda Robinson
Preventive and Public Health
Services, Vital Records Registry