CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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William F. Baird
Reg. Number: ; Reg. District:
40704
Certificate
Number: 20211
Name: William F.
Baird Residence: Habersham
Tennessee Sex: Male Race: white Date of
Birth: 24 Nov 1865 Place of
Birth: Tennessee Date of Death:
21 Sep 1937 Place of Death:
Habersham Tennessee Age: 71 years 9
months 27 days Marital Status:
Married Spouse, if living: Alice
Baird Age of Spouse, if living:
If Veteran, Name of War: Spanish-
American Social Security Number:
Occupation: saw mill
Industry or Business: (left blank)
Father's Full Name: William Baird
Father's Birthplace: Tennessee
Mother's Full Maiden Name: Barbara
Hatmaker Mother's Birthplace:
Tennessee Cause of Death:
pellagra - Due to: paralytic
stroke
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Other conditions: (left blank)
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Operation?: (left blank)
- Autopsy?: (left blank)
If death was due to external causes, fill in the
following: - Accident, Suicide,
or Homicide: (left blank)
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Date of Occurrence:
19
- Where did the injury occur: (left
blank)
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Did injury occur in or about home, on farm,
in industrial place, in public place?: (left blank)
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While at work: (left blank)
- Means of Injury: (left blank)
Informant: A C. Baird Informant Address: LaFollette Tennessee
Burial, Removal, or Cremation: burial-
Habersham Tennessee Date: 22 Sep
1937 Undertaker: Agee
Address: LaFollette Tennessee
By: Date
Filed: 07 Oct 1937 Registrar:
W.W. Gephardt(?) Signature: G.B.
Brown Address: Jellico
Tennessee Submitter's Name: Kathy
Sharp Chasteen Submitter's Email: kannchasteen@sbcglobal.net
Relationship to the Deceased: great-
niece Comments: William F. Baird was
a brother to my great grandfather Jesse Harold Baird. Jesse was also
known as "Tater" or Jesse Behind the Lone.
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