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STATE OF TENNESSEE State Board of Health
Bureau of Vital Statistics Certificate of Death
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1. PLACE OF DEATH
County Giles Registration District No. 42803 File No. 9
Civil Dist. No. 3
Village or City Bethel
- Full Name Jake B. Tate
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth May 16, 1858
- Age 55 Yrs. 11 Mos. 6 Das.
- Occupation Farmer
- Birthplace Lauderdale Co., Ala.
- Name of Father Jerome Tate
- Birthplace of Father N. Carolina
- Maiden Name of Mother Betsie Grissom
- Birthplace of Mother Tennessee
- The Above Is True To The Best Of My Knowledge H. H. Dean Address Minor Hill, Tenn.
- Geo. A. Smith, Registrar
- Date of Death April 22, 1914
- I HEREBY CERTIFY, That I attended deceased from April 21, 1914, to April 22, 1914, that I last saw him alive on April 22, 1914 and that death occurred, on the date state above, at 5:30 a.m.
THE CAUSE OF DEATH was as follows:
From pistol wound, fired by S. W. Allen, homicidal.
Duration 16 hours
Signed Van. A. Edmundson, M. D. April 22, 1914 (Address) Bethel Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Pots Cemetary Date of Burial Apr. 23, 1914
- Undertaker J. Taylor Carter Address Bethel
1. PLACE OF DEATH
County Giles Registration District No. 42804File No.
Civil Dist. No. 4 Primary Registration District No. 4 Registered No. 4
Village or City Goodsprings, Tenn.
- Full Name Barbary Ellen Bass
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth June 13, 1861
- Age 52 Yrs. 11 Mos. 21 Das.
- Occupation Housewife
- Birthplace Lawrence Co.
- Name of Father Washington Griffin
- Birthplace of Father Lawrence Co.
- Maiden Name of Mother Mary J. Bassham
- Birthplace of Mother Lawrence Co.
- The Above Is True To The Best Of My Knowledge Jas. R. Bass Address Goodspring, Tenn.
- Filed 5-6, 1914 Jno. S. Harris, Registrar
- Date of Death May 4, 1914
- I HEREBY CERTIFY, That I attended deceased from April 30, 1914, to May 4, 1914, that I last saw her alive on May 4, 1914 and that death occurred, on the date state above, at 3 p.m.
THE CAUSE OF DEATH was as follows:
Lobar Pneumonia and incipient Pulmonary Arthisis.
Duration 3 mos. 8 das.
Signed Jno. S. Harris, M. D. 5-7, 1914 (Address) Minor Hill, Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Pleasant Ridge, Tenn Date of Burial May 5, 1914
- Undertaker Bennett May Co. Address Pulaski, Tenn.
1. PLACE OF DEATH
County Giles Registration District No. 4 File No. 66
Civil Dist. No. 4 Primary Registration District No. 42804 Registered No. 3
Village or City Minor Hill, Tenn.
- Full Name Mary Jackson
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Mar. 13, 1858
- Age 56 yrs. 27 das.
- Occupation Housewife
- Birthplace West Tenn.
- Name of Father L. D. Duram
- Birthplace of Father West Tenn.
- Maiden Name of Mother Mary Duram
- Birthplace of Mother West Tenn.
- The Above Is True To The Best Of My Knowledge Jeff Jackson Address Minor Hill, Tenn
- Filed 4-6, 1914, Jno. L. Harris, Registrar
- Date of Death Apr. 5, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 10, 1914 to Apr. 1, 1914 , that I last saw her alive on Apr. 1 1914 and that death occurred, on the date state above, at 2 p.m.
THE CAUSE OF DEATH was as follows:
Acute Yellow Atrophy of the liver
Duration 4 mos. 2 das.
Contributory
Signed Jno. S. Harris, M. D. 4-6, 1914 (Address) Minor Hill, Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Minor Hill, Tenn. Date of Burial 4-6, 1914
- Undertaker W. C. Couch Address Appleton, Tenn.
1. PLACE OF DEATH
County Giles Registration District No. 42805 File No. 1
Civil Dist. Primary Registration District No. Registered
Village or City
- Full Name Guordine Cox
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Oct.3, 1821
- Age 92 yrs. 4 mos.
- Occupation Farmer
- Birthplace Marshall Co., Tenn
- Name of Father William Cox
- Birthplace of Father North Carolina
- Maiden Name of Mother Betsy Rig (?)
- Birthplace of Mother Georgia
- The Above Is True To The Best Of My Knowledge Dr. Jn. Cox Address Goodsprings, Tenn.
- G. C. (?), Registrar
- Date of Death Feb 3, 1914
- I HEREBY CERTIFY, That I attended deceased from 1-21, 1914 to (Left Blank), that I last saw him alive on Jan. 1-21, 1914 and that death occurred, on the date state above, at
THE CAUSE OF DEATH was as follows:
Infirmities of old age, had cancer on face which helped
Duration
Contributory
Signed G. C. (?) (Address) Pulaski, Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Mt. Moriah Date of Burial 2-4-1914
- Undertaker Herman Braley Address Pulaski
1. PLACE OF DEATH
County Giles Registration District No. 42803 File No. 9
Civil Dist. 3 Primary Registration District No. Registered
Village or City Stella
- Full Name Paul Witherow
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced (Left Blank)
- Date of Birth Mar. 6, 1914
- Age 1 yr.
- Occupation
- Birthplace Giles Co.
- Name of Father George Witherow
- Birthplace of Father Giles Co.
- Maiden Name of Mother Lela Johnson
- Birthplace of Mother Giles Co.
- The Above Is True To The Best Of My Knowledge George Witherow Address Bethel, Tenn.
- Filed 3/8/1914 Geo. A. Smith, Registrar
- Date of Death (Left Blank)
- I HEREBY CERTIFY, That I attended deceased from Feb. 27, 1914, to Mar. 4, 1914 , that I last saw him alive on March 4, 1914 and that death occurred, on the date state above, at 4:20 a.m.
THE CAUSE OF DEATH was as follows:
Hydrocephalus.
Duration 3 mos.
Contributory Probably tuberculous
Signed G. S. Waters, M. D. March 6, 1914 (Address) Prospect, Tenn. Rt. 1
- Length of Residence (Left Blank)
- Place of Burial or Removal Jackson Date of Burial 3/5, 1914
- Undertaker J. (?) Address Bethel
1. PLACE OF DEATH
County Giles Registration District No. 42803 File No.
Civil Dist. No. 3 Primary Registration District No. Registered No. 4
Village or City Prospect R. 4
- Full Name Green Miller
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Sep. 3, 1855
- Age 58 Yrs. 5 Mos. 17 Das.
- Occupation Farmer
- Birthplace Tennessee
- Name of Father William
- Birthplace of Father S. Carolina
- Maiden Name of Mother Don't know
- Birthplace of Mother (Left Blank)
- The Above Is True To The Best Of My Knowledge J. M. Miller Address Prospect R. R. 4
- Filed (Left Blank) , Registrar
- Date of Death Feb. 20, 1914
- I HEREBY CERTIFY, That I attended deceased from , Feby 16, 1914, to Feby 20, 1914 , that I last saw him alive on Feby 20, 1914 and that death occurred, on the date state above, at 11:45 p.m.
THE CAUSE OF DEATH was as follows:
Cancer of Liver
Duration 1 yr.
Contributory
Signed L. L. Gilbert, M. D., Feby 21, 1914 (Address) Prospect, Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Kedron Date of Burial Feb 21, 1914
- Undertaker J. Taylor Carter Address Bethel, Tenn.
1. PLACE OF DEATH
County Giles Registration District No. 4 File No. 66
Civil Dist. No. 3 Primary Registration District No. Registered No. 14
Village or City Pulaski, Tenn
- Full Name Joanna Carden
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Aug. 1, 1851
- Age 62 Yrs. 6 Mos. 19 Das.
- Occupation Housewife
- Birthplace Giles Co.
- Name of Father John Watson
- Birthplace of Father Giles Co., Tenn
- Maiden Name of Mother Eliza Loyd
- Birthplace of Mother Giles Co., Tenn
- The Above Is True To The Best Of My Knowledge Henry Carden Address Pulaski, Tenn
- Filed Feb. 21, 1914 E. C. Freeman, Registrar
- Date of Death Feb 20, 1914
- I HEREBY CERTIFY, That I attended deceased from Aug. 20, 1911 to Apr. 1, 1914, that I last saw her alive on Feb. 14, 1914 and that death occurred, on the date state above, at 8 a.m.
THE CAUSE OF DEATH was as follows:
Pulmonary Tuberculois
Duration 2 yr. 6 mos.
Contributory Gorter
Signed O. Abernathy, M.D. 2/20, 1914 (Address) Pulaski, Tenn.
- Length of Residence (Left Blank)
- Place of Burial or Removal Pulaski, Tenn. Date of Burial 2/21, 1914
- Undertaker Hindman Oliver Address Pulaski, Tenn.
1. PLACE OF DEATH
County Giles Registration District No. 42803 File No. 1
Civil Dist. 3
Village or City (Unreadable)
- Full Name Clay B. Smith
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Single
- Date of Birth (Left Blank)
- Age 26 Yrs.
- Occupation None
- Birthplace Bethel, Tenn
- Name of Father Riley Smith
- Birthplace of Father Bethel, TN
- Maiden Name of Mother Sallie Barnes
- Birthplace of Mother (Unreadable)
- The Above Is True To The Best Of My Knowledge (Left Blank) Address
- Filed Jan. 5, 1914 Geo. A. Smith, Registrar
- Date of Death Jan. 4, 1914
- I HEREBY CERTIFY, That I attended deceased from (Left Blank), to (Left Blank), that I last saw him alive on (Left Blank) and that death occurred, on the date state above, at
THE CAUSE OF DEATH was as follows:
Homicide
Duration
Signed No Physician (Address)
- Length of Residence (Left Blank)
- Place of Burial or Removal Stella Date of Burial Jan. 5, 1914
- Undertaker J. Taylor Carter Address Bethel, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 42803 File No. 2
Civil Dist. 3
Village or City Mannowford
- Full Name John Y. Gooch
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth August 22, 1831
- Age 82 yrs. 4 mos. 26 da
- Occupation Farmer
- Birthplace Tenn
- Name of Father
- Birthplace of Father
- Maiden Name of Mother
- Birthplace of Mother (
- The Above Is True To The Best Of My Knowledge (Left Blank) Address
- Filed 1/22, 1914 Geo. A. Smith, Registrar
- Date of Death Jan. 18, 1914
- I HEREBY CERTIFY, That I attended deceased from May 2, 1912, to (Left Blank), that I last saw him alive on Dec. 1913 and that death occurred, on the date state above, at a.m.
THE CAUSE OF DEATH was as follows:
Cancer and genuine debility
Duration
Signed W. (?) Edmundson, M.D., Jany. 19, 1914 (Address) Bethel, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Shores Date of Burial 1/19, 1914
- Undertaker Hindman, (?) Address Pulaski
1. PLACE OF DEATH
County Giles Registration District No. (Left Blank) File No.
Civil Dist. 2
Village or City Prospect
- Full Name J. B. Hargrove
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth June 20, 1875
- Age 38 yrs. 7 mox. 3 da
- Occupation Merchant
- Birthplace Giles Co., Tenn
- Name of Father Jno. B. Hargrove
- Birthplace of Father Not Known
- Maiden Name of Mother Henrietta Carter
- Birthplace of Mother S. Carolina
- The Above Is True To The Best Of My Knowledge S. W. Hargrove Address Prospect, Tenn
- Filed , Registrar
- Date of Death Jany 23, 1914
- I HEREBY CERTIFY, That I attended deceased from Jany 14, 1914, to Jany 23, 1914, that I last saw him alive on Jany 23, 1914 and that death occurred, on the date state above, at 5:20a.m.
THE CAUSE OF DEATH was as follows:
Pneumonia Died in 10 days after he was taken
Duration 10 das
Contributory nothing but pneumonia
Signed L. L. Gilbert, M.D., Jany 23, 1914 (Address) Prospect, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal (Left Blank) Date of Burial (Left Blank)
- Undertaker (Left Blank) Address (Left Blank)
1. PLACE OF DEATH
County Giles Registration District No. Reported from 42812 File No.
Civil Dist. 13
Village or City Mannowford
- Full Name Lola Kimbrough
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced
- Date of Birth April 2nd, 1912
- Age 1 yrs. 9 mos. 16 da
- Occupation
- Birthplace Tenn, Giles Co., 5th District
- Name of Father Elmer Kimbrough
- Birthplace of Father Tenn. Giles Co. 13th Dist.
- Maiden Name of Mother Maggie Dever
- Birthplace of Mother Tenn. Giles Co. 13th Dist.
- The Above Is True To The Best Of My Knowledge Elmer Kimbrough Address Lynnville, Tenn
- Filed Jan 21, 1914, Gil Thetford, Registrar
- Date of Death January 18, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 7, 1914, to Jan. 18, 1914, that I last saw her alive on Jan. 18, 1914 and that death occurred, on the date state above, at 7m.
THE CAUSE OF DEATH was as follows:
Congestion of brain
Duration 12 das.
Signed A. M. Allen, M.D., Jan. 21, 1914 (Address) Buford, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Lynnville Cemetary Date of Burial Jan. 19, 1914
- Undertaker (Left Blank) Address Left Blank
1. PLACE OF DEATH
County Giles Registration District No. 42806 File No.
Civil Dist. No. 6 Primary Registration District No. Registered No.
Village or City Pulaski
- Full Name Lusious R. Krapp
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth Jan. 10, 1829
- Age 75 yrs.
- Occupation Farmer
- Birthplace (Unreadable Michagain)
- Name of Father John G. Krapp
- Birthplace of Father
- Maiden Name of Mother
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge J. M. Hayes Address Pulaski, Rt. #6
- Filed 1/12, 1914, B. E. Holt, Registrar
- Date of Death Jan 12, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec 19, 1913 to Jan. 9, 1914 that I last saw him alive on Jan. 9, 1914 and that death occurred, on the date state above, at 8 a.m.
THE CAUSE OF DEATH was as follows:
Brights Disease
Duration 2 yrs.
Contributory
Signed G. D. Butler, M. D., Jan 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Moriah Date of Burial Jan. 13, 1914
- Undertaker Bennett May & Co., J. H. May Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 42806 File No.
Civil Dist. No. 6 Primary Registration District No. Registered No.
Village or City Near Cedar Grove
- Full Name Sarah Jane Harwell
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth May 23, 1840
- Age 73 yrs. 1 mos. 16 das.
- Occupation Housewife
- Birthplace Giles Co., Tenn
- Name of Father Stephen Williams
- Birthplace of Father Tenn
- Maiden Name of Mother Cla(unreadable) Harwell
- Birthplace of Mother Tenn
- The Above Is True To The Best Of My Knowledge R. A. Harwell Address Pulaski, R. F. D.6
- Filed 1/12,1914, B. E. Holt, Registrar
- Date of Death Jan 9, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 5, 1914 , to Jan. 5, 1914 , that I last saw her alive on Jan. 5, 1914 and that death occurred, on the date state above, at 9 a.m.
THE CAUSE OF DEATH was as follows:
Sinility & LaGriffo
Duration
Signed G. D. Butler, M. D., Jan. 12, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Williams Grave Yard Date of Burial Jan. 10, 1914
- Undertaker J. Henry May Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7 Primary Registration District No. Registered No.
Village or City Pulaski
- Full Name William Simpson Whitfield
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth May 12, 1837
- Age 76 yrs. 8 mos. 19 das.
- Occupation Farmer
- Birthplace Giles Co., Tennessee
- Name of Father Willis Whitfield
- Birthplace of Father N. A.
- Maiden Name of Mother Polly Smipson
- Birthplace of Mother Giles Co., Tennessee
- The Above Is True To The Best Of My Knowledge Roy Whitfield Address Pulaski, Rt.
- Filed Jan. 31, 1914 E. C. Freeman, Registrar
- Date of Death Jan 31, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan 16th, 1914 to Jan. 31, 1914 , that I last saw him alive on Jan 29, 1914 and that death occurred, on the date state above, at 5 a.m.
THE CAUSE OF DEATH was as follows:
Annyloid (?) Kidney
Duration 15 das.
Contributory Prostatitis chronic
Signed (unreadable), M. D., Jan 31, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Prospect Date of Burial Feb. 1, 1914
- Undertaker Bennett May & Co. Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 20 Primary Registration District No. Registered No.
Village or City country
- Full Name James Jeferson Owen
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Sept. 30, 1854
- Age 59 yrs. 3 mo. 4 das.
- Occupation Farmer
- Birthplace Lawrence Co., Tenn.
- Name of Father John Owen
- Birthplace of Father not known
- Maiden Name of Mother Mandy Brown
- Birthplace of Mother Not listed
- The Above Is True To The Best Of My Knowledge G. W. Evans Address Boon Hill, Tenn
- Filed Jan. 7, 1914 E. C. Freeman, Registrar
- Date of Death Jan 2, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 29, 1913 to Jan. 2, 1914, that I last saw him alive on 29 of Dec., 1913 and that death occurred, on the date state above, at a.m.
THE CAUSE OF DEATH was as follows:
Congestion of lungs
Duration 5 das.
Contributory Biliousness(?)
Signed R. E. Aymett, M. D., Jan 2, 1914 (Address) Pulaski, Tenn
- Length of Residence 10 yrs. In the state 59 yrs.
- Place of Burial or Removal Bethesda Date of Burial Jan. 3, 1914
- Undertaker Bennett May & Co. Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 8 Primary Registration District No. 281 Registered No.
Village or City Pulaski
- Full Name Robert U. Johnson
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth Not Known
- Age 89 yrs. 8 mos. 5 das.
- Occupation Farmer
- Birthplace Charlotte, Va.
- Name of Father Hickerson Johnson
- Birthplace of Father Unknown
- Maiden Name of Mother Ann Johnston
- Birthplace of Mother Va
- The Above Is True To The Best Of My Knowledge W. H. Johnson Address Pulaski, Rt. #4
- Filed Jan. 10, 1914 E. C. Freeman, Registrar
- Date of Death Jan 6, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 4, 1913 to Jan. 6, 1914, that I last saw him alive on Dec. 11, 1913 and that death occurred, on the date state above, at a.p.m.
THE CAUSE OF DEATH was as follows:
Extreme debility due to old age
Duration
Contributory Bronchititis
Signed R. E. Aymett, M. D., Jan 7, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Old House (?) Date of Burial Jan. 7, 1914
- Undertaker Bennett May & Co. Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7 Primary Registration District No. 281 Registered No. 6
Village or City Pulaski
- Full Name Addie Shelton
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced (Left Blank)
- Date of Birth Jan. 28, 1829
- Age If Less than 1 day, __ hrs. or 21 min.
- Occupation Farmer
- Birthplace Giles County
- Name of Father James Shelton
- Birthplace of Father Giles County
- Maiden Name of Mother Addie Cole
- Birthplace of Mother Giles County
- The Above Is True To The Best Of My Knowledge Addie Shelton Address Pulaski, Rt.
- Filed Jan. 28, 1914 E. C. Freeman, Registrar
- Date of Death Jan 28, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 28, 1914 to Jan. 28, 1914 , that I last saw her alive on Jan 28, 1914 and that death occurred, on the date state above, at 4:52 m.
THE CAUSE OF DEATH was as follows:
Premature Birth
Duration
Contributory
Signed E. C. Freeman, M. C., Jan 24, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Date of Burial
- Undertaker Address
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7 Primary Registration District No. 281 Registered No. 5
Village or City Pulaski
- Full Name Mrs. Nora Long
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Sept. 6, 1872
- Age 41 yrs. 4 mos. 11 das.
- Occupation Housewife
- Birthplace Giles County
- Name of Father Frank Reynolds
- Birthplace of Father Giles County
- Maiden Name of Mother Mary Jane Horne
- Birthplace of Mother Giles County
- The Above Is True To The Best Of My Knowledge W. A. Reynolds Address Pulaski, Rt.
- Filed Jan. 6, 1914 E. C. Freeman, Registrar
- Date of Death Jan 24, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 9, 1914 to Jan. 24, 1914, that I last saw her alive on Jan. 24, 1914 and that death occurred, on the date state above, at 6 a.m.
THE CAUSE OF DEATH was as follows:
Pneumonia
Duration
Contributory
Signed E. C. Freeman, M. D., Jan 24, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Mt. My(?) Date of Burial Jan. 24, 1914
- Undertaker Bennett May & Co. Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7 Primary Registration District No. 281 Registered No. 2; No. 236 West Jefferson St. 1st ward
Village or City Pulaski
- Full Name Margery Ann McCord
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth April 21st, 1838
- Age 75 yrs. 8 mos. 20 das.
- Occupation
- Birthplace Lincoln County, Tennessee
- Name of Father Parker Shaford
- Birthplace of Father North Carolina
- Maiden Name of Mother Sarah Br(?)
- Birthplace of Mother Lincoln Co., Tenn
- The Above Is True To The Best Of My Knowledge L. W. McCord Address Pulaski, Rt.
- Filed Jan. 11, 1914 E. C. Freeman, Registrar
- Date of Death Jan 10, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 8, 1914 to Jan. 10, 1914 that I last saw her alive on Jan. 10, 1914 and that death occurred, on the date state above, at 2 p.m.
THE CAUSE OF DEATH was as follows:
Cerebral Hemorrhage
Duration 2 das.
Contributory
Signed G. D. Butler, M. D., Jan. 11, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Maplewood Cemetary Date of Burial Jan. 11, 1914
- Undertaker Hindman, Oliver and (?) Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 42821 File No.
Civil Dist. No. 21 Primary Registration District No. 21 Registered No. 1
Village or City
- Full Name Dewit Clinton Kimbrough
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth 8-31, 1840
- Age 74 yrs. 9 mos. 13 das.
- Occupation Farmer
- Birthplace Giles Co, Tenn
- Name of Father Henry Kimbrough
- Birthplace of Father North Carolina
- Maiden Name of Mother Ursula Anthoney
- Birthplace of Mother North Carolina
- The Above Is True To The Best Of My Knowledge (Informant) John Kimbrough Address Aspen Hill, Tenn
- Filed 2/24, 1914 Registrar(unreadable)
- Date of Death 2-14, 1914
- I HEREBY CERTIFY, That I attended deceased from (left blank) to (left blank) , that I last saw h__ alive on (left blank) and that death occurred, on the date state above, at a.p.m.
THE CAUSE OF DEATH was as follows:
Cancer of the (unreadadable)
Duration
Contributory
Signed (Address)
- Length of Residence (Left Blank)
- Place of Burial or Removal 21 Dist Giles Co., Date of Burial 2/15, 1914
- Undertaker Bennett & May Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 42806 File No.
Civil Dist. No. 6 Primary Registration District No. 42806 Registered No. 2
Village or City Goodspring, Tenn
- Full Name Rufus Ward
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Single
- Date of Birth Dec. 2, 1908
- Age 5 yrs. 2 mos.
- Occupation
- Birthplace Egnews Creek, Tenn
- Name of Father Andrew Ward
- Birthplace of Father Egnews Creek, Tenn
- Maiden Name of Mother Viola Barnes
- Birthplace of Mother Lewisburg, Tenn
- The Above Is True To The Best Of My Knowledge (Informant) Andrew J. Ward Address Goodsprings, Tenn
- Filed 2/3, 1914; B. E. Holt, Registrar
- Date of Death Feb 2, 1914
- I HEREBY CERTIFY, That I attended deceased from Jan. 13, 1914 to Feb. 2, 1914 , that I last saw him alive on Feb 2, 1914 and that death occurred, on the date state above, at 2 p.m.
THE CAUSE OF DEATH was as follows:
Pleurisy (adhesive)
Duration
Contributory Pneumonia Interlob
Signed Jno. S. Harris, Feb 3, 1914 (Address) Minor Hill, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Chestnut Grove Date of Burial Feb. 3, 1914
- Undertaker Tom Hindman Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 42802 File No.
Civil Dist. No. 2 Primary Registration District No. 2 Registered No. 11
Village or City Prospect
- Full Name Laura Sparks
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth 1854
- Age 60 yrs.
- Occupation Housewife
- Birthplace Tenn.
- Name of Father Jessie Kirkland
- Birthplace of Father Tenn
- Maiden Name of Mother Can't Remember
- Birthplace of Mother Tenn
- The Above Is True To The Best Of My Knowledge (Informant) Betsy Sparks Address Prospect
- Filed Mar. 24, 1914; E. T. Harwell, Registrar
- Date of Death Mar 16, 1914
- I HEREBY CERTIFY, That I attended deceased from March 1, 191(?) to March 16, 1914 , that I last saw her alive on Mar 5, 1914 and that death occurred, on the date state above, at 9 a.m.
THE CAUSE OF DEATH was as follows:
Heart (?) ble
Duration
Contributory
Signed L. L. Gilbert, M.D. (Address) Prospect, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Nelson Graveyard Date of Burial Mar. 17, 1914
- Undertaker Bennett May Co. Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7th Primary Registration District No. 281 Registered No. 1
Village or City
- Full Name Bettie Miller Phillips
- Sex Female
- Color or Race Col
- Single, Married, Widowed or Divorced Widowed
- Date of Birth June 25, 1878
- Age 36
- Occupation Cook
- Birthplace Muffresboro, Tenn
- Name of Father
- Birthplace of Father
- Maiden Name of Mother
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge (Informant) Unsigned Address
- Filed Jan. 11, 1914, E. C. Freeman, Registrar
- Date of Death 1-9, 1914
- I HEREBY CERTIFY, That I attended deceased from 12-27, 1913 to 1-9, 1914 , that I last saw her alive on 1-9, 1914 and that death occurred, on the date state above, at 6 p.m.
THE CAUSE OF DEATH was as follows:
Gastric ulcer of stomach
Duration
Contributory Chronic Indigestion
Signed J. C. (?) (Address) Pulaski
- Length of Residence (Left Blank)
- Place of Burial or Removal Murffresboro, Tenn Date of Burial Jan. 11, 1914
- Undertaker J. H. May Address Pulaski, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 281 File No.
Civil Dist. No. 7 Primary Registration District No. 42807 Registered No. 15
Village or City Pulaski
- Full Name Alice Maxwell
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Widow
- Date of Birth (No date of birth given on form)
- Age 38
- Occupation washing and ironing
- Birthplace Giles Co. St. of Tenn
- Name of Father Ale(?)t Harwood
- Birthplace of Father
- Maiden Name of Mother
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge (Informant) L. D. Young Address Pulaski
- Filed Feb. 25, 1914; E. C. Freeman, Registrar
- Date of Death Feb. 24, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 30, 1913 to Feb. 24, 1914 , that I last saw her alive on Feb. 24, 1914 and that death occurred, on the date state above, at 8 p.m.
THE CAUSE OF DEATH was as follows:
Pillargra
Duration 4 mos. 10 das.
Contributory Derangement of bowels and weakness of muscles
Signed J. C. (unreadable) Feb. 24, 1914 (Address) Pulaski
- Length of Residence (Left Blank)
- Place of Burial or Removal Maplewood Date of Burial Feb. 25, 1914
- Undertaker L. D. Young Address Pulaski
1. PLACE OF DEATH
County Giles Registration District No. 284 File No.
Civil Dist. No. 11 Primary Registration District No. 17 Registered No. 3
Village or City
- Full Name Josie Lee Wheeler
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Not listed
- Age 1 mo. 19das
- Occupation
- Birthplace Brick Church Giles Co Tenn
- Name of Father A. B. Wheeeler
- Birthplace of Father Brick Church Giles Co Tenn
- Maiden Name of Mother Mary Eliza Wolaver
- Birthplace of Mother Diana Tenn
- The Above Is True To The Best Of My Knowledge (Informant) Not Listed Address
- Filed 2-27, 1914; Registrar Not Listed
- Date of Death Jan 3, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 10, 1913 to Jan. 3, 1914, that I last saw her alive on Jan. 3, 1914 and that death occurred, on the date state above, at 4 a.m.
THE CAUSE OF DEATH was as follows:
Never stout from birth and died of consumption
Duration
Contributory
Signed A. W. Deaver M. D. Feb. 10, 1914 (Address) Pulaski, Tenn
- Length of Residence (Left Blank)
- Place of Burial or Removal Date of Burial
- Undertaker Not signed Address
1. PLACE OF DEATH
County Giles Registration District No. 42820 File No.
Civil Dist. No. 20 Primary Registration District No. Registered No. 2
Village or City
- Full Name Robert Aymett Hardin
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced
- Date of Birth Feb. 6, 1914
- Age 1 mo.
- Occupation
- Birthplace Giles Co., Tenn
- Name of Father John Hardin
- Birthplace of Father Giles Co.
- Maiden Name of Mother Hattie Johns
- Birthplace of Mother Giles Co.
- The Above Is True To The Best Of My Knowledge (Informant) Mrs. W. C. Mason Address Pulaski, Tenn
- Filed 3-10, 1914; D. E. Smith Registrar
- Date of Death March 6, 1914
- I HEREBY CERTIFY, That I attended deceased from to , that I last saw h alive on and that death occurred, on the date state above, at .m.
THE CAUSE OF DEATH was as follows:
It was found in bed.
Duration
Contributory
Signed (Address)
- Length of Residence (Left Blank)
- Place of Burial or Removal Beech Hill Date of Burial 3-8, 1914
- Undertaker No undertaker Address
1. PLACE OF DEATH
County Giles Registration District No. File No.
Civil Dist. No. 14 Primary Registration District No. Registered No.
Village or City Yokley
- Full Name Lewis Burford Thurman
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Aug. 29, 1883
- Age 30 yrs. 5 mos. 29 das.
- Occupation Merchant
- Birthplace Ylkley, Tenn
- Name of Father Willis James Thurman
- Birthplace of Father Maury Co., Tenn
- Maiden Name of Mother Sinnie Elisabeth Trice
- Birthplace of Mother Giles Co., Tenn
- The Above Is True To The Best Of My Knowledge (Informant) Will Thurman Address Lynnville, Tenn
- Filed Feb. 25, 1914; W. F. Copeland Registrar
- Date of Death Feb. 24, 1914
- I HEREBY CERTIFY, That I attended deceased from June, 1913 to Feb. 24, 1914 , that I last saw him alive on Feb. 24, 1914 and that death occurred, on the date state above, at 11 a.m.
THE CAUSE OF DEATH was as follows:
Pulmonary Tutiercolosis
Duration
Contributory
Signed W. E. Black M. D.; Feb 27, 1914 (Address) Lynnville
- Length of Residence (Left Blank)
- Place of Burial or Removal Gibsonville Date of Burial Feb. 25, 1914
- Undertaker W. R. Owens Address Campbellsville
1. PLACE OF DEATH
County Giles Registration District No. File No.
Civil Dist. No. 14 Primary Registration District No. Registered No.
Village or City Yokley
- Full Name
- Sex Male
- Color or Race Single
- Single, Married, Widowed or Divorced Single
- Date of Birth Feb. 24, 1914
- Age 7 hrs. old
- Occupation
- Birthplace Tennessee
- Name of Father Eri(?) Samuel Henson
- Birthplace of Father Maury Co.
- Maiden Name of Mother Susie Katherine Tylor
- Birthplace of Mother (Not Listed)
- The Above Is True To The Best Of My Knowledge (Informant) Ercom(?) Henson Address Yokley
- Filed 3/9, 1914; W. G. Co(Unreadable) Registrar
- Date of Death Feb. 25, 1914
- I HEREBY CERTIFY, That I attended deceased from to , that I last saw h alive on and that death occurred, on the date state above, at .m.
THE CAUSE OF DEATH was as follows:
Atelecosis
Duration
Contributory
Signed W. E. Black Mar. 7, 1914 (Address) Lynnville
- Length of Residence (Left Blank)
- Place of Burial or Removal Gibsonville Date of Burial Feb. 25, 1914
- Undertaker None Address
1. PLACE OF DEATH
County Giles Registration District No. 42802 File No.
Civil Dist. No. 2 Primary Registration District No. 2 Registered No. 5
Village or City Prospect
- Full Name Adelade Caldwell
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Divorced
- Date of Birth Jan. 29, 1849
- Age 65 yrs. 19 das.
- Occupation Housewife
- Birthplace Tennessee
- Name of Father Jack Caldwell
- Birthplace of Father VA
- Maiden Name of Mother Elizabeth Mary James
- Birthplace of Mother VA
- The Above Is True To The Best Of My Knowledge (Informant) W. J. Campbell Address (Unreadable)
- Filed Feb. 18, 1914; E. T. Harwell, Registrar
- Date of Death Feb. 17, 1914
- I HEREBY CERTIFY, That I attended deceased from Dec. 17, 1913 to Feb. 19, 1914, that I last saw her alive on Feb. 17, 1914 and that death occurred, on the date state above, at .m.
THE CAUSE OF DEATH was as follows:
Tuberculosis
Duration
Contributory
Signed S. H. Wallis, M. D. (Address)
- Length of Residence (Left Blank)
- Place of Burial or Removal Nelson Graveyard Date of Burial Feb. 18, 1914
- Undertaker Taylor Carter Address Bethel Tenn
1. PLACE OF DEATH
County Giles Registration District No. 282 File No.
Civil Dist. No. 15 Primary Registration District No. 42815 Registered No.
Village or City
- Full Name Robert Carpentar
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced
- Date of Birth
- Age 63 yrs.
- Occupation Farmer
- Birthplace Tenn
- Name of Father
- Birthplace of Father
- Maiden Name of Mother
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge (Informant) Address
- Filed R. L. Wagstaff, Registrar
- Date of Death Mar 5, 1914
- I HEREBY CERTIFY, That I attended deceased from 1910 to Mar 4, 1914 , that I last saw him alive on Mar 4, 1914 and that death occurred, on the date state above, at .m.
THE CAUSE OF DEATH was as follows:
Brights (Unreadable) & Stomach troubles
Duration
Contributory
Signed R. H. Carter (Address)
- Length of Residence (Left Blank)
- Place of Burial or Removal Near Lynnville Date of Burial Mar 5, 1914
- Undertaker J. L. Wiggs Address Lynnville, Tenn
1. PLACE OF DEATH
County Giles Registration District No. 284 File No.
Civil Dist. No. 17 Primary Registration District No. 17 Registered No. 2
Village or City
- Full Name Benjamin Thomas Clark
- Sex Male
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth Sept 5, 1873
- Age 41 yrs. 5 mos. 18 das.
- Occupation Farmer
- Birthplace Diana Giles Co
- Name of Father A Porter Clark
- Birthplace of Father Giles Co
- Maiden Name of Mother Frances
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge (Informant) Jackson Clark Address R #1 Brick Church
- Filed Feb 24, 1914; L. E. Wheat, Registrar
- Date of Death Feb. 23, 1914
- I HEREBY CERTIFY, That I attended deceased from Feb. 5, 1914 to Feb. 23, 1914 , that I last saw him alive on Feb. 23, 1914 and that death occurred, on the date state above, at 5 p.m.
THE CAUSE OF DEATH was as follows:
Appendicial abscess
Duration
Contributory
Signed Luther E. Wheat (Address) Brick Church
- Length of Residence (Left Blank)
- Place of Burial or Removal Mt. Pleasant Date of Burial Feb. 24, 1914
- Undertaker Hindman, Oliver & Braly Address Pulaski
1. PLACE OF DEATH
County Giles Registration District No. 42802 File No.
Civil Dist. No. 2 Primary Registration District No. #2 Registered No. 7
Village or City Near Veto Ala
- Full Name May Hood
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Married
- Date of Birth 1893
- Age 21
- Occupation Housewife
- Birthplace Tenn
- Name of Father Jno Williams
- Birthplace of Father Tenn
- Maiden Name of Mother Jackson
- Birthplace of Mother Tenn
- The Above Is True To The Best Of My Knowledge (Informant) D. T. A. Whitfield Address Veto Ala
- Filed Feb. 25, 1914, Registrar
- Date of Death Feb. 20, 1914
- I HEREBY CERTIFY, That I attended deceased from Feb. 5, 1914 to Feb. 16, 1914, that I last saw her alive on Feb 16, 1914 and that death occurred, on the date state above, at 10 p.m.
THE CAUSE OF DEATH was as follows:
Exhaustion of acute mania of Pnerperal Insanity
Duration
Contributory
Signed Thos. A. Whitfield, M. D. on Feb. 22, 1914 (Address) Veto, Ala
- Length of Residence (Left Blank)
- Place of Burial or Removal Pettersville Ala Date of Burial Feb. 21, 1914
- Undertaker Address
1. PLACE OF DEATH
County Giles Registration District No. File No.
Civil Dist. No. 11 Primary Registration District No. Registered No.
Village or City Pulaski R #4
- Full Name Angie Marks
- Sex Female
- Color or Race White
- Single, Married, Widowed or Divorced Widowed
- Date of Birth Aug. 4, 1831 (The Date shown in the Giles Co. Cemetery Book, p. 355 is different from that given on the death certificate.)
- Age 83 yrs. 6 mos. 8 das.
- Occupation Housewife
- Birthplace Giles Co. Tenn
- Name of Father Lewis B. Mark
- Birthplace of Father Giles Co Tenn
- Maiden Name of Mother Unreadable
- Birthplace of Mother
- The Above Is True To The Best Of My Knowledge (Informant) B. M. Black Address Pulaski Tenn
- Filed 2-16 1914; L. E. Wheat, Registrar
- Date of Death February 12, 1914
- I HEREBY CERTIFY, That I attended deceased from Feb. 6, 1914 to Feb. 11, 1914 , that I last saw her alive on Feb. 11, 1914 and that death occurred, on the date state above, at 5 p.m.
THE CAUSE OF DEATH was as follows:
Lobar Pneumonia
Duration
Contributory
Signed Dr. C. S. Hollom(?) Feb. 16, 1914 (Address) R. R. #8 Pulaski
- Length of Residence (Left Blank)
- Place of Burial or Removal mark Semitery (sic) Date of Burial Feb. 13, 1914
- Undertaker Hindman, Oliver & (Unreadable) Address Pulaski
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