El Paso Co., TX - Vital Records - Joseph Emerson Irby

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This file was contributed for use in the USGenWeb
Archives by:  Peggy Alsobrook <peggyalso@aaahawk.com>

Copyright.  All rights reserved.
http://www.usgwarchives.net/copyright.htm
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CERTIFICATE OF VITAL  RECORD
EL PASO COUNTY
EL PASO, TEXAS
Registered No. 1677
Photo of certificate can be found at:
http://www.usgwarchives.net/tx/elpaso/pics/IrbyJosfe.JPG

1. Place of death: County of El Paso, City of El Paso (No. Hotel Bieu
    St._____Ward).
2. Full Name: Joseph Emerson Irby
   Personal and Statistical Particulars
3. Sex Male 
4. Color of Race W
5. Single, Married, Widowed or Divorce M (write the words).
6. Date of Birth: Nov (Month) 25 (Day) 1877 (Year);
7. Age: 37 years 11 months ___ days.
8. Occupation (a) Trade, profession, or particular kind of work Lawyer
   (b) General nature of industry, business or establishment of which
   employed( or employee) ___
9. Birthplace ( State or Country) Mo

Parents 
10. Name of Father: J. E. Irby
11. Birthplace of Father (State or Country) Tenn
12. Maiden Name of Mother: Martha E. Irby
13. Birthplace of Mother (State or Country) Ark
14. The above is true to the best of my knowledge.
    (Informant) ________ address ______
15. Filed _______ 191_ Medical Particulars
16. Date of Death Oct (Month) 7 (Day) 1917 (Year)
17. I Hereby Certify that I attended deceased from _____191_ to ____  191_ ;
    that I last saw h__ alive on ____ 191_, and that death occured on the
    date stated above at __ _M. The cause of death  was as follows:
    Cirrhosis of the liver  (Duration) ____  Contributary (Secondary) _________
    (Duration) _______ (Signed) F. P. Miller M. D. ________191_ 
    (address) _______
18. Length of Residence at El Paso, Texas:  __ Years ___Months 8 Days.
    In the State: ___years ___months  __ days.  Former or usual residence:
    Van Horn, Tex
19. Place of Burial or Removal Haskell, Tex Date of Buried 10-10-1917
20. Undertaker J.J. Raster & Co.