Death Certificate Information: Lillie Nichols Kelley, Camp County, Texas

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30 October 2001
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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.