Annie Florence Hoyt
Death Certificate
7 May 1947
Click image below for high-resolution version
Document
Hand-written items are underscored; added notes are {italicized-bracketed}.
DEPARTMENT OF COMMERCE Bureau of the Census
STANDARD CERTIFICATE OF DEATH State File No. 7402
STATE OF MISSISSIPPI Registrar's No. 475
SHOWN ON HOSPITAL REPORT
1. PLACE OF DEATH-
County Hinds City or Town Jackson Inside or Outside Corporate Limits? Inside
Hospital Baptist or Street and Number or Rural Precinct
Length of Stay Before Death, (a) In Hospital 2 days (b) In this Community 4 months
2. RESIDENCE BEFORE DEATH-
State Ohio County Morrow City or Town Mt. Gilead or Rural Precinct
3.(a) FULL NAME Mrs. Annie Florence Hoyt Robinson If Foreign Born How Long in U.S.? Yrs.
4. Sex Female 5. Color or Race White 6.(a) Single, widowed, married, divorced Married
6.(b) Name of husband or wife Will B. Robinson 6.(c) Age of husband or wife if alive years
7. Birth date of deceased (Month) Feb. (Day) 16, (Year) 1873
8. Age Years 74 Months 2 Days 21 If less than one day Hr. min.
9. Birthplace (City, town, or county) Hillsboro, (State or foreign country) Ohio
10. Usual occupation Housewife 11. Industry or business
FATHER 12. Name Wm. M. Hoyt 13. Birthplace Canada
MOTHER 14. Maiden Name Sarah Keeler 13. Birthplace New York
16.(a) Informant's signature R. H. Robinson (b) Address
|