CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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Lelia M. Stephens
Reg. Number: ; Reg. District:
Certificate Number: 92-034069
Name: Lelia M. Stephens
Residence: 1000 W. Central Ave. LaFollette,
Campbell, TN
Sex: Female
Race: White
Date of Birth: 19 Jan 1906
Place of Birth: Anderson Co. TN
Date of Death: 15 Sep 1992
Place of Death: LaFollette, Campbell
Co. TN
Age: 86
Marital Status: Married
Spouse, if living: Marion Stephens
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number: 413-24-7038
Occupation: Carton Maker
Industry or Business: Industry
Father's Full Name: Gilbert Martin
Father's Birthplace:
Mother's Full Maiden Name: Cora Della
Martin
Mother's Birthplace:
Cause of Death:
- 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: Marion W. Stephens
Informant Address: 1000 W. Central Ave.
LaFollette, TN 37766
Burial, Removal, or Cremation: Burial:
Woodlawn Cemetery, LaFollette, TN
Date: 19
Undertaker: Martin Funeral Home
Address: 618 W. Central Avenue, LaFollette,
TN
By:
Date Filed: 21 Sep 1992
Registrar: Shiela M. Vickers
Signature: ?????
Address:
Submitter's Name: Lisa Stephens
Submitter's Email: baronpool@earthlink.net
Relationship to the Deceased: granddaughter
in law
Comments: Lelia was married to Marion
Willis Stephens the son of Joshua S. Stephens and Elizabeth
Jane Trammell. Lelia was the daughter of Gilbert Martin and
Cordelia Foust of Anderson Co. TN.
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