State Board of Health      Bureau of Vital Statistics

CERTIFICATE OF DEATH

{Marshall County # 156}

Full Name:                          W. E. Cochran                Date of death:  Sept. 2, 1914

Place of death:                     Verona, 16^th Civil Dist., Marshall County

Sex:                                       Male

Color or Race:                     White

Marital Status:                    Married

Date of birth:                       June 14, 1840

Age at date of death:          74 years, 2 months, 18 days

Occupation:                         Farmer

Birthplace:                           Maury County, Tenn.

Name of Father:                  W. W. Cochran           Father's birthplace:  Maryland

Maiden name of Mother:    Malisia Cunningham Mothers birthplace:  Marshall Co.

Informant:                           J. W. Cochran,             Lewisburg, Tenn.

MEDICAL CERTIFICATE OF DEATH

I HEREBY CERTIFY, That I attended deceased from Sep 1, 1914, to Sept. 2, 1914, that I last saw him alive on Sep (?) 1914, and that death occurred, on the date stated above, at 1 a. m.

The CAUSE OF DEATH* was as follows:

                        Shock from being overheated

                        working in field picking peas.          # 194     

CONTRIBUTARY (secondary)    OLD AGE         #

Signed:      [Dr.'s name not legible], M. D., Lewisburg, Tenn.

Place of Burial:   McCurdy Cemetery               Date of burial:    9-2-1914

Undertaker:        Sewell & Purelow                   Lewisburg