Place of Death: Center, Shelby County, Texas, home
Name of Deceased: Nancy Ellen Green
Date of Death: May 4, 1950
Sex: Female
Color or Race: White
Widow
Date of Birth: Mar. 11, 1860
Age: 90
Usual Occupation: Housewife
Birthplace: Texas
Father's Name: John Potts
Father's Birthplace: [Blank]
Mother's Maiden Name: Jane Price
Mother's Birthplace: Texas
Was Deceased Ever in the Armed Forces: No
Social Security No.: None
Informant's Signature: Tom Baker
Cause of Death: Senility
Antecedent Causes: Age
Autopsy: No
Burial: May 5, 1950
Name of Cemetery or Crematory: La[?w typed over s]son Cemetery
Location: Joaquin [typed] [may be marked out], Texas [typed], Center [handwritten]
Funeral Director's Signature: Mangum Funeral Home
