Silas A. "Al" BAILEY Death Certificate

Texas Department of Health

Bureau of Vital Statistics

STATE OF TEXAS

CERTIFICATE OF DEATH

STATE FILE NO. 18647

1. PLACE OF DEATH:

a. COUNTY: Hidalgo

b. CITY OR TOWN: Edinburg

c. LENGTH OF STAY: [blank]

d. FULL NAME OF HOSPITAL OR INSTITUTION: Grandview Hospital

2. USUAL RESIDENCE:

a. STATE: Texas

b. COUNTY: Hidalgo

c. CITY OR TOWN: Edinburg

d. STREET ADDRESS: 3 1/2 Mi. S. State Highway

3. NAME OF DECEASED: Silas A. Bailey

4. DATE OF DEATH: April 14, 1955

5. SEX: Male

6. COLOR OR RACE: White<

7. MARRIED...: Married

8. DATE OF BIRTH: Jan. 22, 1875

9. AGE: 80 years, 2 months, 22 days

10a. USUAL OCCUPATION: Retired Farmer

10b. KIND OF BUSINESS OR INDUSTRY: Agriculture

11. BIRTHPLACE: White Co., Arkansas

12. FATHER'S NAME: Unknown

BIRTHPLACE: Unknown

13. MOTHER'S NAME: Unknown

BIRTHPLACE: Unknown

14. WAS DECEASED EVER IN U.S. ARMED FORCES? No

15. SOCIAL SECURITY NO.: [blank]

16. INFORMANT'S SIGNATURE: Sam Bailey

17. CAUSE OF DEATH:

I. DISEASES OR CONDITION DIRECTLY LEADING TO DEATH: Chr. Myocarditis<BR>

INTERVAL BETWEEN ONSET AND DEATH: 5 yrs.

ANTECEDENT CAUSES:

DUE TO: Arterial Hypertension

DUE TO: Arteriosclerosis

II. OTHER SIGNIFICANT CONDITIONS: [blank]

18a. DATE OF OPERATION: [blank]

18b. MAJOR FINDING OF OPERATION: [blank]

19. AUTOPSY? No

20a. ACCIDENT...: [blank]

20b. PLACE OF INJURY: [blank]

20c. CITY...: [blank]

20d. TIME OF INJURY: [blank]

20e. INJURY OCCURRED: [blank]

20f. HOW DID INJURY OCCUR? [blank]

21. I hereby certify that I attended the deceased from 2/5, 1952 to 4/14, 1955, that I last saw the deceased alive on April 14, 1955, and that death occurred at 10 A.m. from the causes and on the date stated above.

22a. SIGNATURE: Earl Reed, M.D.

22b. ADDRESS: San Juan, Texas

22c. DATE SIGNED: 4/15/55

23a. BURIAL, CREMATION, REMOVAL: Burial

23b. DATE: 4-16-55

23c. NAME OF CEMETERY OR CREMATORY: Valley Memorial Gardens

23d. LOCATION: McAllen Texas

24. FUNERAL DIRECTOR'S SIGNATURE: Harry Skinner

25a. REGISTRAR'S FILE NO.: 71

25b. DATE REC'D BY LOCAL REGISTRAR: April 16, 1955

25c. REGISTRAR'S SIGNATURE: Eliseus Villarreal