Death Certificates

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Valentine, John C.

Mississippi State Board of Health    #7730

Place of Death - Clarke County, Miss.

Full Name - John C. Valentine

Residence - Shubuta, Miss., Star Route

Sex - Male        Color or Race - White        Marital Status - Widowed

Spouse's Name - Mrs. Marggrett(sic) Valentine

Date of Birth - 5/14/1850

Age -     Years - 88    Months - 0    Days - 4

Occupation of Deceased - Farmer

Birthplace - Miss.

Name of Father - Levy Valentine                          Birthplace of Father - Miss.

Maiden Name of Mother - Tyler            Birthplace of Mother - Miss.

Informant - Mr. Pearl Fitzgerald                                     Address - Shubuta, Miss. Star Route.

Filed - June 10, 1938                                           Registrar - Mrs. Nellie Case

Date of Death - May 17, 1937

I hereby certify, that I attended the deceased from May 15, 1937 to May 17, 1937, that I last him alive on May 17, 1937, and that death occurred on the date stated above at 11a. m... The cause of death was as follows:    Carcinoma of the mouth

Signed: B. J. McRae, M. D., Crandall, Miss.

Place of Burial, Cremation, or Removal - Souinlovie (sic),            Date of Burial - 5/19/1939 (date typed wrong on certificate)

Undertaker - McClellan - Waters, Quitman, Miss.

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