Death Certificates

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H

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Ivey, George W.

Mississippi State Board of Health    #19740

Place of Death - Clarke County, Miss.            Registration District No. - 119

Vot. Pct. - Quitman                                            Primary Registration Dist. No. - 16090

Full Name - Geo. W. Ivy

Residence - Quitman, Miss., R3

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

Spouse's Name - Julia Ivey

Date of Birth - (not given)

Age - 70

Occupation of Deceased - Farmer

Birthplace - Clarke Co., Miss.

Name of Father - Willis Ivey                          Birthplace of Father - not known

Maiden Name of Mother - not known            Birthplace of Mother - not known

Informant - B. J. Ivey                                     Address - ?, Miss.

Filed - 10/8/1926                                           Registrar - Birdie Norris

Date of Death - 10/8/1926

I hereby certify, that I attended the deceased from 7/15/1926 to 10/8/1926, that I last him alive on 10/6/1926, and that death occurred on the date stated above at 3:30 a. m. The cause of death was as follows:    Chronic Inlerslitial Nephritis.

Signed: W. C. Norris                                       108/1926                                        Address - Quitman, Miss.

Place of Burial, Cremation, or Removal - Dabbs Cemetery            Date of Burial - 10/8/1926

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