Marshall Hazelwood Baccus
Sex: M
Birth: 18 MAY 1916 in Leander, Williamson Co., Texas
Death: 5 OCT 1990 in Seton Med. Center, Austin, Travis Co., Texas of sepsis, emphysema, congestive heart failure
Burial: 9 OCT 1990 Travis Co. Intl. Cem., Austin, Travis Co., Texas
Social Security Number: 449-12-4202
Occupation: Laborer, general work
Education: Completed two grades
Residence: 2019 E. 5th #7, Austin, Travis Co., Texas

Note:
Death certificate no. E627801, State file no. 100772, rec'd Nov. 13, 1990, Bureau of Vital Statistics, Texas Department of Health:
1. Name of deceased: Marshall Hazelwood Baccus
2. Sex: male
3. Date of death: Oct. 5, 1990
4. Race: Caucasian
5. Hispanic origin?: no
6. Date of Birth: 5-18-1916
7. Age: 74
8. Social Security Number: 449-12-4202
9. Place of death: hospital inpatient 9b. County: Travis 9c. City: Austin
9d. Name of Institution: Seton Medical Center 9e. Inside city limits?: yes
10. Birthplace: Leander, Texas
11. Citizen of what country?: U.S.A.
12. Decedent ever in U.S. Armed Forces?: no
13. Marital status: divorced
14. Surviving spouse: none
15. Decedent's education: 2 grades elementary school
16a. Usual occupation: Laborer 16b. Kind of business or industry: General work
17a. Residence - State: Texas 17b. County: Travis 17c. City: Austin 78704
17d. Street address: 2019 East 5th #7 17e. Inside city limits?: yes
18. Father's name: unavailable 19. Mother's maiden name: unavailable
20a, b. Signature and address of informant: Jack Everhart, Rt. 1 Box 712, Cedar Creek, Texas 78612
21, 22. Manner of death: natural, no injury
23, 24. Certifier: Nancy Foster, M.D. 10/10/90, 10:05 pm
25. Mailing address of certifier: 1301 W. 38th, #402, Austin, Texas 78705
26a-e. Method of disposition: burial at Travis County International Cemetery, Austin, TX 10-9-90
26f. Name, address of funeral home: Cook-Walden, 6100 N. Lamar, Austin, Texas 8752
27. Registrar: File no. 002363, rec'd Oct. 15, 1990, Jeanette Wright
28. Immediate cause of death: Sepsis due to belated prognosis; Emphysema, congestive heart failure; no autopsy.

This copy of death certificate was sent by Rose Parsons Collins in 2002. - mab

Father: George Lawrence Baccus b: 10 NOV 1881 in Texas
Mother: Mildred Susiana Coleman b: JUN 1892

Occupation Laborer, general work

Died in Seton Medical Center, Austin, Travis, Texas