James Bradford Foy Death Certificate
STATE OF TEXAS
CERTIFICATE OF DEATH
1. Name of Deceased: JAMES BRADFORD FOY
2. Sex: M
3. Date of Death: NOV. 19, 1917
4. Race: WHITE
5. Was Decedent of Spanish Origin: NO
6. If Yes, Specify Mexican, Cuban, Puerto Rican, Etc.:
N/A
7. Age: 68 YRS, 3 MOS, 6 DAYS
8a. Place of Death: CANYON, TEXAS RANDALL COUNTY
8b. City or Town: CANYON
8c. Names of Hospital or institution: NOT GIVEN
Inside city Limits? NOT GIVEN
9. Marital Status: MARRIED
10. Birthplace: TENNESSEE
11. Citizen of what country: U.S.
12. Was Decedent ever in U.S. Armed Forces: NOT GIVEN
13. Surviving Spouse (if wife give maiden name): NOT GIVEN
14. Social Security No.: NOT GIVEN
15a. Usual Occupation: FARMER
15b. Kind of Business/Industry: AGRICULTURE
16. Residence - State: TEXAS
16b. County: U.S.
16b. City or Town: NOT GIVEN
16c. Street Address: NOT GIVEN
16c. Inside City Limits: NOT GIVEN
17. Father's Name: NOT GIVEN
18. Mother's Maiden Name: LOUISE
19. Signature of Informant: /S/ MRS. J. B. FOY
20. Conditions, if any, which gave rise to immediate cause state
the underlying cause last
(a) PELLOGRA [sic]
(b) OLD AGE
THIS CERTIFIED COPY HAS BEEN MADE FROM INFORMATION PROVIDED ON A
ONE LINE ENTRY IN VOLUME 2 PAGE 2 LINE 6 #19 OF THE REGISTER OF DEATHS
FOR RANDALL COUNTY, TEXAS.
STATE OF TEXAS
COUNTY OF RANDALL
CERTIFIED COPY OF VITAL RECORDS
DATE ISSUED: 10/27/98
This is a true and exact reproduction of the document officially registered
and placed on file in the VITAL RECORDS OF THE COUNTY CLERK.
LeRoy Hutton, County Clerk
RECORD of Death, Vol. 2, Page 2
By: [signed] T. Hage, Deputy