CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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Laura Blankenship
Reg. Number: ; Reg. District:
40705
Certificate Number: 57-08022
Name: Laura Blankenship
Residence: Duff, Civil Dist. 5, Campbell
Co. TN
Sex: Female
Race: W
Date of Birth: 11 Mar 1889
Place of Birth: La Follette, TN
Date of Death: 31 Mar 1957
Place of Death: Duff, Campbell Co. TN
Age: 68
Marital Status: Widowed
Spouse, if living: James Fowler Blankenship
Age of Spouse, if living:
If Veteran, Name of War: No
Social Security Number: No
Occupation: Housewife
Industry or Business: (left blank)
Father's Full Name: Joshua Stevens
Father's Birthplace:
Mother's Full Maiden Name: Mary Elizabeth
Trammell
Mother's Birthplace:
Cause of Death: not shown
- Due to: (left blank)
- Other conditions: (left blank)
- Operation?: (left blank)
- Autopsy?: (left blank)
If death was due to external causes, fill
in the following:
- Accident, Suicide, or Homicide: (left
blank)
- Date of Occurrence:
- Where did the injury occur: (left
blank)
- Did injury occur in or about home,
on farm, in industrial place, in public place?: (left
blank)
- While at work: (left blank)
- Means of Injury: (left blank)
Informant: Pearl Ethel Riggs
Informant Address: Duff, TN
Burial, Removal, or Cremation: Burial:
Peabody Cemetery, LaFollette, TN
Date: 02 Apr 1957
Undertaker: Cross and Sharp
Address: La Follette, TN
By:
Date Filed: 08 Apr 1957
Registrar: Mrs. Leo Alexander
Signature: Mrs. Leo Alexander
Address:
Submitter's Name: Lisa Stephens
Submitter's Email: baronpool@earthlink.net
Relationship to the Deceased: great
niece in law
Comments: Laura Blankenship is the
daughter of Joshua S. Stephens and Elizabeth Jane Trammell.
Pearl Ethel Riggs, the informant is the daughter of James Fowler
& Laura Stephens Blankenship.
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