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MITCHELL COUNTY, TEXAS
The TXGenWeb Project and The USGenWeb Project

     

Death Record Submission Form

 
Death Record Submission

Date

MM		/
DD		/
YYYY
Submitter*
Email*
Death Volume*
Certificate Number
Surname
Date of Death

MM		/
DD		/
YYYY
Place of Death
Race or Color
Sex
Marital Status
Spouse's Name
Spouse's Age
Cause of Death
Place of Burial
Date of Burial

MM		/
DD		/
YYYY
Residence
Occupation
Date of Birth

MM		/
DD		/
YYYY
Birth Place
Father's Name
Father's Birth Place
Mother's Name
Mother's Birth Place
Informant
Undertaker
Comments and Corrections
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 County Coordinator:
 Christina Palmer
Texas State Coordinator:
Shirley Cullum
Assistant State Coordinators:
Elaine Martin  & Jane Keppler

Last Updated: 

Copyright © 2008-Present - Christina Palmer-The TXGenWeb Project - All Rights Reserved

COPYRIGHT NOTICE: All files on this site are copyrighted by their creator. They may be linked to but may not be reproduced electronically or otherwise without specific permission from the county host and/or the contributor. Although public information is not copyrightable, the format in which it is presented, the notes and comments, etc., are. It is however, quite permissible to print or save the files to a personal computer for personal use only.
 For more information on the TXGenWeb, visit the website. State Coordinator: Shirley Cullum