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Ellis Harper Parker, 1936

Transcribed by Janet Perdue King at JPERDUE192@aol.com

  1. STATE OF TENNESSEE DEPT OF HEALTH DIVISION VITAL STATISTICS CERTIFICATE OF DEATH COUNTY SUMNER DIST 8 REGISTRATION DIST # 841 PRIMARY REGISTRATION DIST # 48408
  2. NAME - Ellis Harper Parker
  3. SEX - Male
  4. COLOR - White
  5. Married
  6. NAME OF SPOUSE - Blank
  7. DATE OF BIRTH - Oct 18, 1865
  8. AGE 70 yrs 2 mths 17 days
  9. TRADE - Supintendent
  10. INDUSTRY - County Farm
  11. DATE LAST WORKED - Blank
  12. TOTAL TIME AT WORK - Blank
  13. BIRTHPLACE - Sumner Co., Tenn.
  14. FATHER - James Parker
  15. FATHER'S BIRTH - Tenn
  16. MOTHER - Rhoda Ann Whitson
  17. MOTHER'S BIRTH - Sumner Co., Tenn
  18. INFORMANT - Carnie Ann Barry, Rt. 2, Gallatin, Tenn
  19. BURIAL - Gallatin Cem., Jan 6, 1936
  20. UNDERTAKER - C. C. Alexander, Gallatin, Tenn
  21. FILED - Jan 4, 1936 - Wm Suckey Registrar
  22. DATE OF DEATH - Jan 4, 1936
  23. I HEREBY CERTIFY, THAT I ATTENDED DECEASED FROM Dec 21 1936 to Jan 4, 1936 I LAST SAW HIM ALIVE ON Jan 2, 1936 DEATH IS SAID TO HAVE OCCURED ON THE DATE STATED ABOVE AT 4 P.M.
    PRIMARY CAUSE DEATH - Chronic Interstitial nephritis - diagnosed 1934 and Cerebral Hemorrhage suffered in 1935
    CONTRIBUTING CAUSE - Influenza - diagnosed Dec 15, 1935
  24. (Does not apply)
  25. Physician - Homer Reese, Gallatin, Tenn

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