Notes |
- 1. Deceased name: Roy Lee Bassett
2. Date of death: January 20, 1975
3. Sex: Male
4. Race: white
5. Age at last birthday: 74
6. Date of birth: January 24, 1900
7a. County of death: Tulsa
7b. City or town: Tulsa
7c. Inside city limits? Yes
7d. Hospital or institution: Four Seasons Nursing Home
8. State of birth: Georgia
9. Citizen of what country: USA
10. Marital status: widowed
11. Surviving spouse: NA
12. SS#: 447-07-3806
13a. Usual occupation: Retired - Convoy Driver
13b. Kind of Business: Fred Jones Ford
14a. Residence-state: Oklahoma
14b. County: Tulsa
14c. City/Town: Tulsa
14d. Inside city limits? Yes
14e. Street and number: 5940 W. 8th zip code: 74127
15. Father-name: Redden Bassett
16. Mother-maiden name: Gussie Brigman
17a. Informant-name or source of information: Mrs. Louise Dawson
17b. Mailing address: 3209 E. Xyler, Tulsa, Oklahoma
Cauth of death: immediate - Acute coronary artery insufficiency (minutes)
"due to or a consequence of": Arteriosclerotic heart disease (months)
Other significant conditions: Chronic emphysema & chronic obstructive lung disease Manner: natural Autopsy: No Death occurred at 4:10 AM
Certifier name: C.E. Woodward, M.D.
Mailing address: 5157 E. 51st, Suite 110, Tulsa, OK 74135
Burial: January 22, 1975 at Woodland Cemetery, Sand Springs, Oklahoma
Funeral home: Mobley-Dodson-Lakeside, Sand Springs, Oklahoma
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