H. G. Culberson Death Certificate

 

 

STATE OF TENNESSEE

CERTIFICATE OF DEATH

[Marshall County 1922 Certificate # 220

 

Full Name                              H. G. Culberson

Place of death:                      R. F.. D. 4, 6th Civil Dist., Marshall County

Sex:                                       Male

Color or Race:                     White

Marital Status:                    Widower

Date of death:                      4 Jan 1922

Date of birth:                       15 Jul 1836

Age at date of death:           87 yrs., 5 mos., 19 days

Occupation:                         Farmer           000

Birthplace:                           N. C.

 

Name of Father:                   Unknown          Father's birthplace:    Unknown

Maiden name of Mother:    Unknown           Mother's birthplace:  Unknown

Informant:                            John (?) Glenn   R. F. D. 4

 

Physician:                             J. W. Reed, M. D., Belfast, Tenn.

Cause of death:                    (primary causes  ommitted)

Physician's comments:         Old age is about all I could say.

                                                did not see him for quite a while

                                                Before he died.

Undertaker:                           Bills & Wiggs             Lewisburg, Tenn.

Date of burial:                       5 Jan 1922

Burial place:                          Bethel Cem.

 

Contributed by Dick Wood

 

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