title

Campbell Death Certificate

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

 
Martha J Ward McGhee
Reg. Number:  ; Reg. District:
Certificate Number: 52-21905
Name: Martha J Ward McGhee
Residence:
Sex: Female
Race: White
Date of Birth: 12 Oct 1894
Place of Birth:
Date of Death: 04 Oct 1952
Place of Death: Caryville,TN
Age: 57
Marital Status: Married
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation:
Industry or Business: (left blank)
Father's Full Name: Will Ward
Father's Birthplace:
Mother's Full Maiden Name: Bell Burris
Mother's Birthplace:
Cause of Death: heart problems
  • 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: 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: Mack McGhee
Informant Address: Caryville TN
Burial, Removal, or Cremation: McGhee LaFollette TN
Date: 05 Oct 1952
Undertaker: Paul Martin
Address: Lake City TN
By:
Date Filed: 19
Registrar:
Signature:
Address:

Submitter's Name: Campbell Genweb
Submitter's Email: campbell@tngenweb.org
Relationship to the Deceased:

Comments:

 


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