DECEDENT PERSONAL DATA

NAME OF DECEASED:            James Bartley Foster
DATE OF DEATH:               July 22, 1952
HOUR:                        7:30 am
SEX:                         Male
COLOR OR RACE:               White
SPECIFY MARRIED:             Divorced
DATE OF BIRTH:               June 17, 1928
AGE(last birthday):          24
USUAL OCCUPATION:            laborer
KIND OF BUSINESS:            General
BIRTHPLACE:                  Georgia
CITIZEN OF WHAT COUNTRY:     USA
NAME AND BIRTHPLACE
     OF FATHER:              Tom Foster, Georgia
MAIDEN NAME AND BIRTHPLACE
     OF MOTHER:              Amey Burch, Georgia
NAME OF PRESENT SPOUSE:      Imogine
WAS DECEASED IN U S 
     ARMED FORCES:           No
INFORMANT:                   Tom Foster

PLACE OF DEATH
COUNTY:                      Madera
CITY OR TOWN:                Madera
OUTSIDE CORP LIMITS:         Yes
LENGTH OF STAY IN CITY:      1 year
FULL NAME OF HOSPITAL
     OR INSTITUTION:         Madera County Hospital
ADDRESS:                     Madera, California
STATE:                       California
COUNTY:                      Madera
CITY OR TOWN:                Chowchilla
OUTSIDE CORP LIMITS:         yes
STREET OR RURAL ADDRESS:     General Delivery


PHYSICIAN'S OR CORONER'S CERTIFICATION
SIGNATURE: Cloyd A McAllister, MD
ADDRESS: Madera, California
DATE SIGNED: 7/22/52
SIGNATURE OF EMBALMER: John R Ballard
LICENSE NUMBER: 4027
SIGNATURE OF LOCAL REGISTRAR:  Lee A Stone, MD

James Bartley Foster

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