County: Okaloosa
District No. 34-05
Town: Crestview
City No. 34-535
Registerd No. 17
Lifelong Resident.
Full Name: Laura Jane Barks [of Crestview]
Sex: Female
Race: White
Widow
No birth date given
Age at Death: 78 years
Profession: Housekeeper
Birthplace: Florida
Name of Father: Unknown
Name of Mother: Mrs. J. Clark
Birthplaces of Mother and Father unknown by informant.
Informant: Mrs. Settles of Crestview.
Burial at Crestview on Jan 23, 1937.
Undertaker: W.F. Arnett of Crestview made casket.
Filed July 8, 1937 by Mrs. J. M. Jordan
Date of Death Jan. 22, 1937
"I hereby certify that I attended deceased from Jan. 21, 1937 to Jan. 22, 1937. I last saw her alive on Jan. 21 1937. Death is said to have occurred on the date stated above at 5:00?m
The principal cause of death and related causes of importance in order of onset were as follows: Cardiac Decompensation; Valeriter? Conttibutory Causes of importance not related to pricipal causes: Chr. Nephritis. No autopsy." signed R.E. Enzor, M.D.