|
<br />
<br />\C...ITY OFEDINBURG
<br />. " ,,', 'C, ,,',' ',' ,,', "', .
<br />., ", " ,., ,.. ,'.'
<br />........ .... .,;., .,. ""'.. ..... ..
<br />STATE OF TEXAs
<br />
<br />
<br />'.",.."'" ..
<br />...... ." .., ,..
<br />.. ..
<br />'.'. "".. .. .
<br />.. ""..
<br />. ,'. ,.. ..
<br />c. ': '.... " .
<br />;,.'.,.,. :':': ,., ,. .
<br />.', ... ..
<br />. ".
<br />.. .. "" ,.
<br />"200901806
<br />
<br />-
<br />~.
<br />~
<br />~
<br />~
<br />I
<br />~
<br />~
<br />J \
<br />\
<br />i
<br />~
<br />~
<br />I
<br />I
<br />.:=~
<br />I
<br />~
<br />~
<br />-:Ii
<br />-
<br />81
<br />J
<br />I
<br />!II
<br />~
<br />;
<br />,,~
<br />'"
<br />~
<br />~
<br />~
<br />jI
<br />I
<br />I~
<br />I
<br />.
<br />~
<br />-""
<br />~
<br />~
<br />,
<br />OIl
<br />,"'
<br />II
<br />~
<br />;j
<br />~
<br />i.:
<br />""
<br />J
<br />!
<br />~
<br />~
<br />-_1
<br />.;;
<br />li
<br />~,
<br />j
<br />~
<br />~~
<br />""
<br />'m
<br />.~
<br />
<br />. . .,' " . . . . . . . , , .
<br />.., " .." . ..
<br />.' CERTIFICATE OF DEATH
<br />.. ,...
<br />
<br />
<br />
<br />$T ATE OF TEXAS
<br />
<br />STAfEFILE NUMBER
<br />2. DATE OF DEATH - ACTUAL OR PRESUMED
<br />
<br />... PAUL NATHAN GARNETTE
<br />~ 3, SEX 4/DA TE OF BIRTH
<br /><II
<br />I.!
<br />Iii
<br />
<br />~
<br />~
<br />~
<br />llf
<br />
<br />;
<br />I!!
<br />i5
<br /><II
<br />IL
<br />o
<br />ffi
<br />~
<br />
<br />Q
<br />
<br />~
<br />
<br />
<br />02/16/200.9
<br />a,BIRTHPlACE (City & State or Foreign Country)
<br />
<br />505-32..7304
<br />10a, RESIDENCE STREET ADDRESS
<br />
<br />14131MA STREET
<br />10d, COUNTY
<br />
<br />HIDALGO
<br />11. FATHER'S NAME
<br />
<br />PAUL FRANCIS GARNETtE
<br />
<br />DOCTOR'S HOSPITAL AT RENAISSANCE
<br />18, MAIUNG ADDRESS OF INFOfl.MANT(Streetan(! Number,City,Slale.Zip Code)
<br />
<br />21.
<br />Section
<br />
<br />181 Unknown
<br />
<br />Block
<br />
<br />lot
<br />
<br />: WEST LAWN MEMORIALPARKAND CRj:MATORY
<br />a 24, NAME OF FuNERAL FACiliTY
<br />.5
<br />i
<br />
<br />G~AND ISLANI?NE.. Space
<br />25'COMPlETE ADDRESS OF FUNERAL FACiliTY (Street end Number. City State. Zip Code)
<br />
<br />S-V)D~.
<br />
<br />k-6~ g 't I\J~ rri L
<br />.." '.'., '" "...", ,..
<br />.. ., ..
<br />
<br />IMMEDIATE CAUSE (Fi Ft'i
<br />di.ease or conditlOn .,.,._> a.
<br />ni.uRing Indealh) .
<br />
<br />i . . .... Duelo (oras a q>ns&.juence 01):
<br />
<br />e.o flo ~?ltfci . ~l
<br />
<br />Due to. orau cqnsequenoeol):
<br />
<br />lyti'~
<br />1)1~
<br />.1"GJ
<br />
<br />Sequentially list condnions, b,
<br />it any. leading to the oeu.e
<br />listed on line e.Enlerthe
<br />UNDERl YINGCAUSE.
<br />(disease or InJurythlll o.
<br />initialed. Ihe events
<br />
<br />34. WAS AN AUTOPSY PERFORMED?
<br />
<br />DYes XJ No
<br />35.WERE AUTOPSY FINDI~GS AVAILABLE TO
<br />i COMPl.ETE THE CAUSE OFDEATHb .....w
<br />Yes L..I\No
<br />39. IF TRANSPORTATION INJURY. SPECIFY
<br />o Driver/Operator
<br />o pessenger
<br />o Pedestrian
<br />o Other (Specify)
<br />
<br />36. MANNER OF DEATH
<br />lfJ . Netural
<br />o AC::Cident
<br />o Suicide
<br />o Homloide
<br />o Pending Investigetion
<br />Could not be determined
<br /><lOa. DATE OF INJURY (MOlDeyNr)
<br />
<br />o Notpregnanl wilhinpast yelr '.'
<br />i 0 ~regrillnl allimeol d8athii ..... ...... ....
<br />o .I'l\lt p~"9nant,bufI>ragneni\Nl\hiii 42 ~ays of death
<br />. O"'Qipreg~ant'bIllI>nignanl~dey.toone year before death
<br />q. Unknown. ~pregne"I'IJtl~r tI1e~e$t yelir \
<br />
<br />CE oF INJlJRY (".g. OeCedei'it'$ home.wnstnJctlon sIlB. res1eurent wOoded erea)
<br />
<br />8
<br />~
<br />
<br />>
<br />UJ
<br />a::
<br />N
<br />.-
<br />.-
<br />~
<br />
<br />
<br />
<br />42e, REGISTRAR FilE NO
<br />03-087-09
<br />
<br />42b.DATE RECEIVEDSY LOCAl~EISISTRAR
<br />March 2,2009
<br />
<br />EDR 000000530.847
<br />
<br />DTP. NO 1
<br />
<br />J4001
<br />
<br />
<br />
<br />
<br />This is to certify that this is a truc and correct reproduction of the original record as recorded in this office.
<br />,,,"'" "~d" ,"""O';ly o,\S<<t;'W ]?1 .0". H!~'" Md ',rely COO" ~o/
<br />
<br />
<br />
<br />Myra L. Ay~l~ G~rza, Registrar
<br />Bureau of Vital Statistics
<br />City of Edinburg. Texas
<br />
<br />
|