PERSONAL AND STATISTICAL PARTICULARS
1. Place of death: St. Joseph's Hospital
2. Full name: Joseph Barron Baucum
3. Sex: M
4. Color or race: W
5. Single, married, widowed, or divorced: S
6. Date of birth: Feb. 15
7. Age: 21 yrs.
8. Occupation: Electrician
9. Birthplace: Texas
10. Name of father: J.M. Baucum
11. Birthplace of father: La.
12. Maiden name of mother: Maudie McWilliams
13. Birthplace of mother: Ga.
14. The above is true to the best of my knowledge. [Informant] Mrs. Paul James Address1324 Latham
15. Filed: 10-1, 1928

MEDICAL CERTIFICATE OF DEATH
16. Date of death: Oct. 1, 1928
17. I HEREBY CERTIFY That I attended deceased from 9-14 1928, to 10-1 1928, that I last saw him on 10-1, 1928, and that death occurred, on the date stated above, at 4 pm.
The CAUSE OF DEATH* was as follows: Pulmonary abcess
Contributory (Secondary): Anaesttules for appendicitis
Signed: R.S. McDavid, M.D., 10-1, 1928.
18. Length of residence (for hospitals, institutions, transients, or recent residents):
At place of death: 15 days
In the State: 2 years
Former or usual residence: 1324 Latham
19. Place of burial or removal: Atlanta, Tex.
Date of burial: 10-1, 1928
20. Undertaker: Thompson Bros.