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

 

Joseph Mynatt Nelson
Reg. Number:  ; Reg. District: 2
Certificate Number: 58-15547

Name: Joseph Mynatt Nelson
Residence: 1511 Woodbine, Knoxville, TN
Sex: Male
Race: White
Date of Birth: 07 Sep 1893
Place of Birth: Campbell TN
Date of Death: 22 Jun 1958
Place of Death: 1511 Woodbine, Knoxville, TN
Age: 64
Marital Status: Married
Spouse, if living: Ethel F. Nelson
Age of Spouse, if living: 61
If Veteran, Name of War: WW1
Social Security Number:
Occupation: Saleman, Furniture
Industry or Business: Business
Father's Full Name: Dock Nelson
Father's Birthplace: Campbell TN
Mother's Full Maiden Name: Sally Ford
Mother's Birthplace: Campbell TN
Cause of Death: Heart attack

  • 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: Ethel F. Nelson
Informant Address: Knoxville, TN
Burial, Removal, or Cremation: Burial
Date: 25 Jun 1958
Undertaker: Rose Mortuary
Address: Knoxville TN
By:
Date Filed: 01 Jul 1958
Registrar: Mary Chambers
Signature:
Address: Knoxville TN

Submitter's Name: Suzanne Pratt
Submitter's Email: Suzanne Pratt
Relationship to the Deceased: granddaughter

Comments: Date of birth could have been as early as 1892 according to census information given by his mother, Sallie Ford Nelson, in the 1900 census.

 


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