APPLICATION FOR MORTUARY WARRANT: Mrs. Elizabeth A Pugh, 1921, Smith County, TX

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Submitted by Ray Ross - ray@rayross.com
9 October 2001
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APPLICATION FOR MORTUARY WARRANT

State of Texas     }
County of Smith    }           I,  E T. Brown
do hereby certify that I am the person to whom is entrusted the paying
of the accounts and indebtedness of the late Mrs. Elizabeth A. Pugh,
who was a pensioner of the State of Texas, and whose file number is 
10469, and whose original county is Smith.

The said pensioner Mrs. Elizabeth A. Pugh, died on the 17th day of 
December, 1921, in the town of Winona, Rt. 2 County of Smith, Texas.

The pensioner died in the home of E. T. Brown who was related to the
pensioner as son-in-law.

That the warrant, which aplication is hereby made for, shall be applied 
to paying all or part of the expenses incurred by the said pensioner
Mrs. Elizabeth A. Pugh.

I further certify that the warrant for the current quarter has not been 
cashed by the pensioner, to the best of my knowledge and belief.

I am related to the pensioner as (Friend) son-in-law and that my home
is in the town of Winona, Rt. 2, County of Smith State of Texas, that
my postoffice address is Winona, Rt 2, Smith County, Texas

                                        Signed  E. T. Brown

Before me W. R. Hudnall, County Clerk in and for the County of Smith, 
State of Texas personally appeared E. T. Brown, who being by me duly
sworn did certify to and sign the foregoing statement.

(Seal of Office)                      W. R. Hudnall (signed)
  County Clerk                       in and for Smith, Texas

                             -------------------------

I, J. F. Daniel, do certify that I am undertaker in the town of Tyler,
County of Smith, State of Texas that I had charge of the body of 
Elizabeth A. Pugh, who died in the town of Winona, Rt. 2, County of Smith,
State of Texas on the 17th day of December, 1921.  That said body was
prepared for burial by me on the 17th day of December, 1921.  That said
body was buried in the Sand Flat Cemetery, which is located in the county 
of Smith State of Texas, and that I am of the opinion that warrant herein
applied for should be issued to the said E. T. Brown, who makes the 
foregoing application.

                                     Signed J. F. Davie, Undertaker

                             -------------------------

I, B. F. Bell, do certify that I am a practicing physician, and that i
attended Elizabeth A. Pugh in his last illness, and am of the opinion that 
his ailments were (can't read).