CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
|
|
Elizabeth Russel
Reg. Number: 40705 file no.
78; Reg. District: Fifth
Certificate Number: 398
Name: Elizabeth Russel
Residence: Jellico, Campbell Cty, TN
Sex: Female
Race: White
Date of Birth: 06 Oct 1847
Place of Birth: Hockins Cty, TN
Date of Death: 07 Dec 1925
Place of Death: Jellico, Campbell Cty,
TN
Age: 78 yrs, 2 mos.
Marital Status: Widowed
Spouse, if living: William Russell
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation:
Industry or Business: (left blank)
Father's Full Name: David Christian
Father's Birthplace: not known
Mother's Full Maiden Name: not known
Mother's Birthplace: not known
Cause of Death: broncho-pneumonia
- Due to: Chronic Bronchitis
- 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: W. H. Russell
Informant Address: Newcomb, TN
Burial, Removal, or Cremation: Newcomb
Date: 08 Dec 1925
Undertaker: Elison
Address: Jellico
By:
Date Filed: 12 Dec 1925
Registrar: L. L. Ridenoer
Signature: F. A. McClintock, MD
Address: Newcomb, TN
Submitter's Name: Robert L. Leach
Submitter's Email: bleach@rose.net
Relationship to the Deceased: Great
grandson
Comments: Elizabeth's last name should
have had two "l". The informant was her son, William Henry Russell.
Her birth place was spelled "Hockins" Co, TN, should have been
Hawkins Co. The unknown mother is Mary Ann Vaughn, b. in Hawkins
Cty, ca. 1820. Her birth year in her family bible was 1846 and
she was 13 at the time of the 1860 Hawkins Cty census, with
a birthday coming up in Oct which would have made her 14 years
old.
|
|