Campbell County Death Certificates

CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS

 
George Clayton Brock
Reg. Number:  7; Reg. District: 40705
Certificate Number: 115

Name: George Clayton Brock
Residence: Jellico, Tennessee
Sex: Male
Race: White
Date of Birth: 21 Jul 1925
Place of Birth: Jellico, Tennessee
Date of Death: 21 Jan 1928
Place of Death: Jellico, Tennessee
Age: 2 1/2
Marital Status: Single
Spouse, if living: N/A
Age of Spouse, if living: ---
If Veteran, Name of War:
Social Security Number:
Occupation:
Industry or Business: (left blank)
Father's Full Name: William Coleman Brock
Father's Birthplace: Rhea County, TN
Mother's Full Maiden Name: Bessie Jane Wilson
Mother's Birthplace: Whitley County, KY
Cause of Death: Labor pneumonia fever
  • Due to: (left blank)
  • 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:
  • 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: Not listed
Informant Address:
Burial, Removal, or Cremation: Jellico Cemetery
Date: 22 Jan 1928
Undertaker: Ellison
Address: Jellico, Tennessee
By: J.L. Rose
Date Filed: 21 Jan 1928
Registrar: L.L. Ridenour
Signature:
Address:

Submitter's Name: Donna (Brock) Strong
Submitter's Email: dstrong@worldnet.att.net
Relationship to the Deceased: Paternal uncle

Comments:


 


Bible Records Cemeteries Census Court Records Death Certificates
Deeds Family Photo Album FAQS Goodspeed's History History
Letters Lookups Mailing Lists Maps & Place Names Marriages
Migration Military Newspapers Obituaries Published Resources
Queries Research Helps Local & Family Reunions Search Engines Site Map
SSDI
Surnames
Taxes
Websites
Wills
Home
Postcards
Campbell Tennessee and Beyond  
Prison
 


You are our  visitor to this page since January 1, 2005.




.

Campbell County TNGenWeb Host is campbell@tngenweb.org
TNGenWeb State Coordinator information can
be found at http://www.tngenweb.org/contact.html

Copyright 2004 - present by SM Pratt
The contents of these pages are the property of the Campbell County GenWeb,
and/or private contributors. Any reproduction and/or use of this material for any use other than personal,
unpublished and not-for-profit research is expressely prohibited.  Publication of material on this website on
other websites is also prohibited.

The Campbell County TNGenWeb Project makes no claims or estimates of the validity of the information submitted and reminds you that each new piece of information found should not be taken at face value, but should be researched and proved or disproved by weight of evidence.

Links to external web sites are being provided as a convenience and for informational purposes only; they do not constitute an endorsement or approval of any of the products, services or opinions contained in any external web site

This site is a member of the free, all-volunteer
A TNGenWeb Project-Affiliated Site

TNGenWeb is a subset of
The USGenWeb Project

 

TNGenWeb project logos are the copyrighted property
of their respective owners and used here with permission.