Calvin Leeper Coffey Death Certificate

STATE OF TENNESSEE

CERTIFICATE OF DEATH

1914 Bedford County # 86

FULL NAME: Calvin Leeper Coffey

PLACE OF DEATH: Civil Dist. 19, Bedford County, Tenn.

Male

White

Single

Occupation: Farmer 000

Birth place: South Carolina

Date of death: 18 Apr 1914

Date of birth: 29 Jan 1830

Age at date of death: 84 years, 2 months, 20 days

Cause of death: Heart failure 205a

No attending physician

Father's name: Thomas Coffee born South Carolina

Mother's maiden name: Polly Miller born South Carolina

Informant: Mrs. Tom Woodard Shelbyville, Tenn.

Undertaker: L. Fowler, Lewisburg, Tenn.

Burial date: 19 Apr 1914

Burial place: Round Hill Cemetery

Submitted by Dick Wood, January 2005 (dick_wood@hotmail.com)

©2004, 2005 by Paulette Carpenter; all rights reserved.

Submissions to these pages remain the copyrighted property of the submitter. Commercial use of this information is strictly prohibited without prior permission. If copied for personal genealogical use, this copyright notice MUST appear with the information. Otherwise, contact the submitter.
THE INFORMATION ON THIS IS NOT FOR INCLUSION IN THE USGENWEB ARCHIVES UNLESS WRITTEN PERMISSION FROM THE SUBMITTER IS OBTAINED AND PROVEN.