Death Certificate - Howe, David Allen_10/11/1994STATE OF 7EXAS
1. NAME OF DEGEASED (a) FIRST
_ �.OATE OF BIFiTH 5. AGE
y 29 October 1935 �W57��
� 8. RACE 9a. WAS THE DECEDENT
OF HISPANIC OflIGINi
> CflllCflS18I1 ❑YES �NO
0 �2.MARfiA�STATlJ$ 13.SI
� hUFF1E0 ❑ NEVEfl IMFiAIED
c�0 ❑ WIDOWED ❑DIVORCED IS8
? 15n RESIDENLE STREETADDRESS
m 5206 90th Street
I �x cour+n �
L
�, Lubbock
= 16. FATHERS NAME
o Lonus C. Howe
m
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CERTIFICATE OF DEATH ST4TE FILE NUMBER
(q lAST (� MAIO 1. SE%
HOWE �7ale
i Yft IF UNDER 1 OAY 6. BIFlTH PLACE (Cf1Y 6 STATE pq FOpEIGNCIXRfiAI]
iAVS HWRS MW
Evansville, Indiana
'ECIFY�MEXqMl,CUflul.PUEFTO tO.WASDECEDENTEVERIN 11.EWCATION�',
� U.S. ARMED FORCE$? COMPLETED, ELF
❑ YES � NO (612� COILEGE ('
Texas
� INPAT7ENT � ENOViPATIEM � DOA I OTHER: Q NUFSWG HOME
l3 euawi
❑ cr�e.unor�
❑ REMOVAIFROM $TATE
❑ DONATION
a
Lubbock
.%�e_ SVife
OF DISPOSRION (NAME Of CEMETERY,
� of Lubbock Cemete
Texas
� 79424
OTHER'S hW DEN NAAIE
D. Pauline Pearson
26 August 1993
SOGIAL SEGURIiY NO.
� Science
o. CITY OR TOWN
Lubbock
�ENCE ❑ OTHER�SPECIFY�
NAME OF MOSPITAL OR WSTRU'
5206 90th Street
❑ NO
�
5206 90th St., Lubbock, Texas 79424
' OR OTHER PLACE) 29. NAME 8 ADORES$ OF FUNEPAL NOME
Rix Funeral Directors
28 Aug 1993 1901 Broadway
!G AS SUCH
` O on+eR�srec� I Lubbock, Texas 79901
e
i. 30. CERTIFIEfl
o� �
m
n m ❑ CERTIF'!WG PHYSICLW TO THE BEST OF MY KNOWLEDGE DE�iH OCCURflED AT THE T7ME. DATE, AND PIACE. AND OUE TO THE CAUSE(S) AND MANNEH AS STATED.
� ❑ MEDICAL E%AMINER
o m �y ON THE BA515 OF E%AMINATION AN[1pR WVESTIGATqN, W MY OPINION, DEATH OCCVRRED AT iME TIME, DATE. PUCE, AND WE TO THE
�� L4 JUSTICE OF THE PFACE CnUSE(5) AND MANNER A$ STATED.
E e
= N
q o 31. SIGNAT E 8 TITLE OF C RTIFIER 72. DAO SIGNED Y Y q 33. TIME OF OEATH
`� �--Justice of the Peace Pct.5 8 �� �� 2:25 A.M. M.
�
} 34PRINTEDNAME ADDRESSOFCEHTIFIER
ZEN L. Grad Brooke P.O. Box 430 Wolfforth Texas 79382
C�
n o J5. PART f ENiER Tt1E DISFASES. WJURIES OR COMPLILATIONS THAT GAUSED TME OEATH. DO NOT EMER TFIE MOOE OF DVWG SVCH AS Popr.ima:e
a% CARDInC Ofl FESPIRnTORY AFiREST, SHOCK, OR HEART FARUflE. L15T ONIV ONE CAUSE ON EACH LWE. H:enal &tween
�OL
O(15BI 8td �ldi�
_� �M�oa,�c�use��6�.�. Metastatic Cancer of the Liver ; 1 yr
o'� � ar mnG;ion rewR4y in GaN) � 4
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j UFAFT20THERSIGNIFICqNiCpNDIT10N5CONTRIBIRINGTOOEATHBUTNOTREWLTWGWTHEUNDERIYWG 36aAUTOPSYi J6E.AUTOPSYFWDINGSAVRMBLE
— a CFUSE GNEN IN PAqT t p.a uCSwp aouse, CuCeus. smNiq. re.� PRIOR TO COMPIETION OF CAUSE OF
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p n ❑ YES [BNO ❑ YES ❑ NO
rn 3].DIDTOBnCCOUSECANTRIBVTETODEATH 7B.DIDALGOMOLUSECONTRIBUiETODEATH 39.WASDECEOENTPREGNANT
M❑ YE$ ❑ PROBABLY y❑-� YES ❑ PROBABIY AT TME OF DEATN ❑ VES z]NO ❑ UNK
iy NO ❑ UNKNOWN p� NO ❑ UNKNOWN WRryW �pST f2M0 ❑ YES �NO ❑VNK
eO.MANNEFOFDEAiH ataDATEOFIWUPY �ID.TIMEOFIWURY �IeIWURYATWORK d1tl.PUCEOfWJUflY—�THOME.FARM.STRiET.FAGiOqY,OFF4:
p� NA7UML ETL.I�ECIGYI
M ❑ YES ❑ NO
� ❑ACCIDEM ate.LOCATION�STREETANDNUMBER,CITYORiOWN,STATE)
❑ SUICIDE
❑ MOMICIDE �f L DESCRIBE HOW I11R1pY OCCURRI
❑ PENDING INVESTIGAT1pN
❑ COULD NOT 0E DETERMINED
!a REGiSTRAR FRE NO. �A. DATE REf€F�/f Bi]LO{AL
02-1610 tK�� � 1
STATE OF TEXAS WHEN IMP.RESSED WITH THE RAISED SEAt, OF THE-•
COONTY OE LUBBOCK CZTY OE LUSBOCK . I CERTZFY THIS�TO BE A TRUE
CITY OF LUBBOCK COPY OF THO PERMANENT RECORD AS EZLED IN THE ..
LUBBOCK HEALTH DEPARTMENT. -'
c�� O `i 1g�
ISSUE DATE
I \ V Y � � � . .
ACT 111994
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