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

 
William Riley Hubbard
Reg. Number:  Unable to find;
Reg. District: 40705

Certificate Number: 53-19745

Name: William Riley Hubbard
Residence: Jellico R, Campbell, TN
Sex: Male
Race: White
Date of Birth: 05 Aug 1868
Place of Birth: TN
Date of Death: 02 Aug 1953
Place of Death: Jellico R, Campbell, Civil District 5
Age: 84
Marital Status: Married
Spouse, if living: Edith Owens
Age of Spouse, if living: 48
If Veteran, Name of War: Not listed
Social Security Number: Not listed
Occupation: Retired
Industry or Business: (left blank)
Father's Full Name: unknown
Father's Birthplace: unknown
Mother's Full Maiden Name: Judith Hubbard
Mother's Birthplace: Not listed
Cause of Death: Uremia

  • Due to: Urinary Retention and Urethral Obstruction
  • Other conditions:
  • 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: Edith Hubbbard
Informant Address: Jellico R.
Burial, Removal, or Cremation: Hackler Cemetery Jellico R, TN
Date: 04 Aug 1953
Undertaker: Ellison Funeral Home
Address: 418 5th St. Jellico,TN
By: Unknown
Date Filed: 15 Sep 1953
Registrar:
Signature: Mr. Leo(?) Alexander
Address: not listed

Submitter's Name: Tammy Martin
Submitter's Email: Tammy Martin
Relationship to the Deceased: Granddaughter

Comments: His full name was William Riley Hubbard. He was a retired Coal Miner. He also worked for the railroad. He had Colon Cancer and died just 2 days shy of his 85th birthday.

 


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