Vitals
| Birth Certificate | Death Certificate | |
|---|---|---|
| Copy |  |
 |
| Name | -- | Inf. of Sam Hoover |
| Place | 2202 Clinton Ave., Ft. Worth, Tarrant county, Texas | 2202 Clinton Ave., Fort Worth, Tarrant county, Texas |
| Died | 21 October 1930 | |
| Cause | Still Born | |
| Born | 10 21 1930 | Oct. 21, 1930 |
| Father | Sam Hoover of Ft Worth, Tex, white, 31 years old, Born in Houston Texas, ? occupation. | Sam Hoover of Texas |
| Mother | Gertie May Blunt of Ft. Worth Texas, white, 22 years old, born Sulphur Springs Texas, housewife. | Gertie M. Blount of Texas |
| Informant | Mrs. H. P. Hoover | |
| Description | legitimate boy, stillbornt at 5 am | Single White Male, 0 days old. |
| Burial | Mt. Olivet Cemetery 10/21/30 in Ft. Worth, Texas |