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ANDREWS COUNTY, TEXAS

 

     
 
 
Death Record Submission

Date

MM
/
DD
/
YYYY
Submitter*
Email*
Death Volune
Certificate Number
Surname
Given Name
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
Age
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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Last updated: Friday July 02, 2010

Created and Maintained for the TXGenWeb Project by


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