Death Certificate
Nancy Rebecca Murley Ervin
submitted by Jason Presley
(back to Haywood County Index)
Here is a transcription of the death certificate of my great-great-great
grandmother, Nancy Rebecca Murley Ervin, for the Haywood County page and/or
Archive. It's not mentioned on the certificate, but she was the widow of
Joseph John Ervin.
Jason Presley daclyde@usa.net
Huntsville, AL
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CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPT. OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
State File Number: 19577
Registered Number: 46
Registration District Number: 384
Primary Registration District No: 23807
1. Place of Death: Haywood
Civil District: 7
City: Brownsville
2. Full Name: Nancy Rebecca Ervin
(a) Residence: Brownsville, Tennessee
Personal and Statistical Particulars
3. Sex : Female
4. Color or Race: White
5. Marital Status: Widowed
5a. Spouse: Widowed
6. Date of Birth: 1846
7. Age: 88 years
8. Occupation: Old Age
9. Industry or business:
10. Date deceased last worked at this occupation:
11. Total time (years) spent in this occupation
12. Birthplace: Tennessee
13. Name of Father: William Hamilton Murley
14. Birthplace of Father: Tennessee
15. Maiden Name of Mother: Nancy Elizabeth Brown
16. Birthplace of Mother: Tennessee
17. Informant: J. C. Ervin, Brownsville, Tenn. (RFD 2)
18. Burial, Creamation or Removal Date: Aug-5-1938
Cemetery: Bolivar Place: Bolivar
19. Undertaker: J. M. Cox & Son,
Address: Brownsville, Tenn. By: W. W. Cox
20. Filed: Sept 11, 1938 Jane Whitelaw
Registrar
Medical Certificate of Death
21. Date of Death: Aug 4, 1938
22. I hereby Certify, that I attended deceased from
June 6, 1938 to Aug 4, 1938 and that I last saw
her alive on the Aug 4, 1938, death is said to
have occurred on the date above at 2:30 P.M.
The Cause of death was as follows:
Chronic interstitial nephritis
24: Was disease or injury in any way related to occupation of deceased?
(Signed) A. H. Sorrelle, M.D.
(Address) Brownsville, Tennessee