Name: W. M. Ammons
Residence:
Sex: Male
Race: White
Date of Birth: 02 Mar 1833
Place of Birth: North Carolina
Date of Death: 30 Nov 1914
Place of Death: Loudon
Age: 81
Marital Status: Married
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Pensioner
Industry or Business: (left blank)
Father's Full Name: Young Ammons
Father's Birthplace: North Carolina
Mother's Full Maiden Name: Ellen Cabe
Mother's Birthplace: North Carolina
Cause of Death: Old age and frustration

• 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: Mrs. Ammons
Informant Address:
Burial, Removal, or Cremation: Buried Loudon Cemetary
Date: 01 Dec 1914
Undertaker: R. M. Johnston
Address: Loudon, Tenn
By:
Date Filed: 01 Dec 1914
Registrar: J. H. Kaltock
Signature:
Address:

Submitter's Name: Nancy Malheiro
Submitter's Email: ETENN1@aol.com
Relationship to the Deceased: Great-great-grandaughter

Comments: Much of the information is hard to read , especially cause of death. It does appear to be old age and frustration.