Texas Department of Health
		      Bureau of Vital Statistics
			1100 West 49th Street
		       Austin, Texas 78756-3199

Certificate Number: 38780

 1. Place: County of McLennan Precint No Waco Hillcrest Mem. Hosp.
    Length of Residence: 50 years
 2. Name of Deceased: Mrs. Jno Wallace
    Residence City Hubbard county: Hill State: TX
 3. Sex: Female
 4. Color or Race: White
 5. Marital Status: Widowed
    Spouse: 
 6  Date of Birth: Oct. 8 1872
 7. Age: 67 years, 9 months, 23 days
 8. Trade: At Home
 9: Industry:
12: Birth place: Hubbard TX
13: Name of Father: J. [C?] Casady
14: Birth place of Father: Ill.
15: Maiden name of Mother: Francis Killough
16: Birthplace of Mother: La.
17: Informant: Mrs. Ed Shelton
18: Address of Informant: Hubbard Tx
18. Burial: Hubbard TX
19: Undertaker: BC Dobson
21. Date of Death: Aug 1, 1940
22: Cause of Death: Burned.
Accident,  in her home, Mt. Calm