Wm. Cummings Death Certificate

 

STATE OF TENNESSEE

State Department of Health        Division of Vital Statistics Vital Statistics

CERTIFICATE OF DEATH  #11274  (1934)

 

Place of Death:  Marshall County,  Belfast, Tenn.  RFD

 

FULL NAME:  Wm. Cummings

Residence:         Belfast, Tenn.  RFD

 

Sex:                                   Male

Color or race:                  White

Marital Status:                Widowed

 

Date of death:                   18 May 1934

Date of birth:                      4 Feb   1851

Age at date of death:         83 years, 3 months, 14 days

 

Father's name:                  George W. Cummings    Father's birthplace:  Tenn.

Mother's maiden name:   Hulda Barrett                  Mother's birthplace:  Tenn.

Informant:                         ohn Cummings                Petersburg, Tenn.  RFD

_______________________________________________________________________________________________________

MEDICAL CERTIFICATE OF DEATH:

   No attending Physician;   Kidney & Heart Disease                      95B

______________________________________________________________________________________________________

Burial Information:   Place:  Round Hill    Burial Date:  5/19/1934

Undertaker:               R. H. Beasley,  Petersburg, Tenn


 

  Submitted by Dick Wood, December 2004

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