Campbell Death Certificate CERTIFICATE OF DEATH STATE OF TENNESSEE DEPARTMENT OF PUBLIC HEALTH DIVISION OF VITAL STATISTICS   Isaac George Orick Reg. Number:  0748240700; Reg. District: 20701 Certificate Number: 58-22228 Name: Isaac George Orick Residence: Civil dist. 5 Campbell Co. ,TN Sex: Male Race: white Date of Birth: 03 Mar 1879 Place of Birth: Kentucky Date of Death: 31 Aug 1958 Place of Death: Lafollette Age: 79 Marital Status: Married Spouse, if living: Laura Age of Spouse, if living: n/a If Veteran, Name of War: Social Security Number: 411-14-6548 Occupation: Post Master Industry or Business: Business Father's Full Name: Russell Orick Father's Birthplace: n/a Mother's Full Maiden Name: Eliza Bailey Mother's Birthplace: n/a Cause of Death: Heptic coma Due to: Ca. of stomach Other conditions: (left blank) Operation?: (left blank) Autopsy?: No If death was due to external causes, fill in the following: Accident, Suicide, or Homicide: (left blank) Date of Occurrence: 19 Where did the injury occur: (left blank) Did injury occur in or about home, on farm, in industrial place, in public place?: (left blank) While at work: (left blank) Means of Injury: (left blank) Informant: Laura Orick Informant Address: Duff, TN Burial, Removal, or Cremation: burial Date: 03 Sep 1958 Undertaker: n/a Address: LaFollette,TN By: Cross & Berry Date Filed: 15 Sep 1958 Registrar: Margaret H. Ayers Signature: John C. Pryse M.D. Address: LaFollette Submitter's Name: Sherman F. Orick Submitter's Email: knxorick@aol.com Relationship to the Deceased: grandson Comments: Buried at Peabody Cemetary

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