Death Certificate Information: Lillie Nichols Kelley, Camp County, Texas ************************************************************************ USGENWEB ARCHIVES NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by any other organization or persons. Persons or organizations desiring to use this material, must obtain the written consent of the contributor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. Contributed for use in USGenWeb Archives by Lillie Ruby switw@aol.com 30 October 2001 ************************************************************************ CERTIFICATE OF DEATH #78593 Place of death: Camp Co. Usual residence: Texas County: Camp City: Pittsburg, Texas Length of stay 3 days City: Pres. #4 Hospital: M & S Hospital Street: Rt 4 Box 65a Pittsburg, Texas Name of desceased: Lillie Kelley Date of death: Nov 30, 1966 Sex: female Race: white Date of Birth May 9, 1905 Age 61 Occupation: housewife Birthplace: Smith Co., Texas Father's name: Charles A. Nichols Mother's name: Ollie Rhoden Informant: Horace Kelley (husband) Cause: acute cardiac standstill due to: possible strokes-Adam syndrome or massive coronary, acute Arterio-sclerotic heart disease Time to death:11:30 am I herecy certify that I attended the desceased from 5/8/64 to 11/30/66 R. K. Pendergrast, M. D. Pittsburt, Texas Burial Date: Dec 1, 1966 Name of cemetery: Ebenezer Cemetery Location: Pittsburt, Camp Co. Texas Funeral Home: Erman Smith No 3676.