CERTIFICATE OF
DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
|
|
Harry L. Fisher
Reg. Number: 3767; Reg. District:
Certificate Number:
Name: Harry L. Fisher
Residence: 3123 Biway St., Sansom Park,
Tarrant Co, Tx
Sex: Male
Race: white
Date of Birth: 04 Jul 1929
Place of Birth: Pioneer, Cambell Co,
Tn
Date of Death: 28 Sep 1985
Place of Death: Ft. Worth, Tarrant Co.,
Tx
Age: 56
Marital Status: Married
Spouse, if living: Lou Ann Bell
Age of Spouse, if living:
If Veteran, Name of War: Korean
Social Security Number:
Occupation: Salesperson
Industry or Business: (left blank)
Father's Full Name: Robert L. Fisher
Father's Birthplace: (left blank)
Mother's Full Maiden Name: Sylvania
Boshears
Mother's Birthplace: (left blank)
Cause of Death: Myocardial Infarction
- Due to: Acute Leukemia
- Other conditions: (left blank)
- Operation?: (left blank)
- Autopsy?: No
If death was due to external causes, fill
in the following:
- Accident, Suicide, or Homicide: (left
blank)
- Date of Occurrence:
- Where did the injury occur: (left
blank)
- Did injury occur in or about home,
on farm, in industrial place, in public place?: (left
blank)
- While at work: (left blank)
- Means of Injury: (left blank)
Informant: (left blank)
Informant Address: (left blank)
Burial, Removal, or Cremation: Burial
Date: 01 Oct 1985
Undertaker: James L. Biggers, Biggers
Funeral Home
Address: Lake Worth, Tx
By:
Date Filed: 07 Oct 1985
Registrar: Geraldine R. Harris
Signature: Geraldine R. Harris
Address: City of Ft. Worth
Submitter's Name: Linda Fisher Dintino
Submitter's Email: LMDintino@aol.com
Relationship to the Deceased: Daughter
Comments: The certificate stated
there was no autopsy, this is wrong, an autopsy was preformed
on Sun, Sept. 29, 1985 at John Peter Smith Hospital, Ft. Worth
Tx. Information that is on the Texas Certificate not listed
above: Dan Voss MD was the doctor that gave information as to
cause of death. Hour of death was 1:45pm Buried Oct 1, 1985,
Azleland Memorial Park, Azle, Tx.
|
|