Name: Lewis Miller Baird
Residence: Jacksboro Tennessee
Sex: Male
Race: white
Date of Birth: 08 Jun 1860
Place of Birth: Elk Valley Tennessee
Date of Death: 14 Oct 1950
Place of Death: Jacksboro Tennessee
Age: 90
Marital Status: Married
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: farmer
Industry or Business: (left blank)
Father's Full Name: Jesse Baird
Father's Birthplace: blank
Mother's Full Maiden Name: Louisa Smith
Mother's Birthplace: blank
Cause of Death: cerebral hemmorage

• Due to: age
• Other conditions: (left blank)
• Operation?: (left blank)
• Autopsy?: (left blank)

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: Leonard Baird
Informant Address: Jacksboro Tennessee
Burial, Removal, or Cremation: burial
Date: 16 Oct 1950
Undertaker: Agee & Walters
Address: Jacksboro Tennessee
By:
Date Filed: 03 Nov 1950
Registrar: Mrs. L Alexander
Signature: Baird
Address: Caryville Tennessee

Submitter's Name: Kathy Sharp Chasteen
Relationship to the Deceased: distant

Comments: