STATE OF TENNESSEE
State Board of Health
Bureau of Vital Statistics
Certificate of Death

1. PLACE OF DEATH

County Giles Registration District No. 42803 File No. 9

Civil Dist. No. 3

Village or City Bethel

  1. Full Name Jake B. Tate
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth May 16, 1858
  6. Age 55 Yrs. 11 Mos. 6 Das.
  7. Occupation Farmer
  8. Birthplace Lauderdale Co., Ala.
  9. Name of Father Jerome Tate
  10. Birthplace of Father N. Carolina
  11. Maiden Name of Mother Betsie Grissom
  12. Birthplace of Mother Tennessee
  13. The Above Is True To The Best Of My Knowledge H. H. Dean Address Minor Hill, Tenn.
  14. Geo. A. Smith, Registrar
  15. Date of Death April 22, 1914
  16. 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.
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Pots Cemetary Date of Burial Apr. 23, 1914
  20. 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.

  1. Full Name Barbary Ellen Bass
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth June 13, 1861
  6. Age 52 Yrs. 11 Mos. 21 Das.
  7. Occupation Housewife
  8. Birthplace Lawrence Co.
  9. Name of Father Washington Griffin
  10. Birthplace of Father Lawrence Co.
  11. Maiden Name of Mother Mary J. Bassham
  12. Birthplace of Mother Lawrence Co.
  13. The Above Is True To The Best Of My Knowledge Jas. R. Bass Address Goodspring, Tenn.
  14. Filed 5-6, 1914 Jno. S. Harris, Registrar
  15. Date of Death May 4, 1914
  16. 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.
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Pleasant Ridge, Tenn Date of Burial May 5, 1914
  20. 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.

  1. Full Name Mary Jackson
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Mar. 13, 1858
  6. Age 56 yrs. 27 das.
  7. Occupation Housewife
  8. Birthplace West Tenn.
  9. Name of Father L. D. Duram
  10. Birthplace of Father West Tenn.
  11. Maiden Name of Mother Mary Duram
  12. Birthplace of Mother West Tenn.
  13. The Above Is True To The Best Of My Knowledge Jeff Jackson Address Minor Hill, Tenn
  14. Filed 4-6, 1914, Jno. L. Harris, Registrar
  15. Date of Death Apr. 5, 1914
  16. 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.
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Minor Hill, Tenn. Date of Burial 4-6, 1914
  20. 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  

  1. Full Name Guordine Cox
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Oct.3, 1821
  6. Age 92 yrs. 4 mos.
  7. Occupation Farmer
  8. Birthplace Marshall Co., Tenn
  9. Name of Father William Cox
  10. Birthplace of Father North Carolina
  11. Maiden Name of Mother Betsy Rig (?)
  12. Birthplace of Mother Georgia
  13. The Above Is True To The Best Of My Knowledge Dr. Jn. Cox Address Goodsprings, Tenn.
  14. G. C. (?),   Registrar
  15. Date of Death Feb 3, 1914
  16. 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    
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Mt. Moriah Date of Burial 2-4-1914
  20. 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

  1. Full Name Paul Witherow
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced (Left Blank)
  5. Date of Birth Mar. 6, 1914
  6. Age 1 yr.
  7. Occupation  
  8. Birthplace Giles Co.
  9. Name of Father George Witherow
  10. Birthplace of Father Giles Co.
  11. Maiden Name of Mother Lela Johnson
  12. Birthplace of Mother Giles Co.
  13. The Above Is True To The Best Of My Knowledge George Witherow Address Bethel, Tenn.
  14. Filed 3/8/1914 Geo. A. Smith, Registrar
  15. Date of Death (Left Blank)
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Jackson Date of Burial 3/5, 1914
  20. 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

  1. Full Name Green Miller
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Sep. 3, 1855
  6. Age 58 Yrs. 5 Mos. 17 Das.
  7. Occupation Farmer
  8. Birthplace Tennessee
  9. Name of Father William
  10. Birthplace of Father S. Carolina
  11. Maiden Name of Mother Don't know
  12. Birthplace of Mother (Left Blank)
  13. The Above Is True To The Best Of My Knowledge J. M. Miller Address Prospect R. R. 4
  14. Filed (Left Blank) , Registrar
  15. Date of Death Feb. 20, 1914
  16. 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.
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Kedron Date of Burial Feb 21, 1914
  20. 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

  1. Full Name Joanna Carden
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Aug. 1, 1851
  6. Age 62 Yrs. 6 Mos. 19 Das.
  7. Occupation Housewife
  8. Birthplace Giles Co.
  9. Name of Father John Watson
  10. Birthplace of Father Giles Co., Tenn
  11. Maiden Name of Mother Eliza Loyd
  12. Birthplace of Mother Giles Co., Tenn
  13. The Above Is True To The Best Of My Knowledge Henry Carden Address Pulaski, Tenn
  14. Filed Feb. 21, 1914 E. C. Freeman, Registrar
  15. Date of Death Feb 20, 1914
  16. 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.
  17. 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.

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Pulaski, Tenn. Date of Burial 2/21, 1914
  20. 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)

  1. Full Name Clay B. Smith
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Single
  5. Date of Birth (Left Blank)
  6. Age 26 Yrs.
  7. Occupation None
  8. Birthplace Bethel, Tenn
  9. Name of Father Riley Smith
  10. Birthplace of Father Bethel, TN
  11. Maiden Name of Mother Sallie Barnes
  12. Birthplace of Mother (Unreadable)
  13. The Above Is True To The Best Of My Knowledge (Left Blank) Address
  14. Filed Jan. 5, 1914 Geo. A. Smith, Registrar
  15. Date of Death Jan. 4, 1914
  16. 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
  17. THE CAUSE OF DEATH was as follows:

    Homicide

    Duration

    Signed No Physician (Address)

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Stella Date of Burial Jan. 5, 1914
  20. 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

  1. Full Name John Y. Gooch
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth August 22, 1831
  6. Age 82 yrs. 4 mos. 26 da
  7. Occupation Farmer
  8. Birthplace Tenn
  9. Name of Father
  10. Birthplace of Father
  11. Maiden Name of Mother
  12. Birthplace of Mother (
  13. The Above Is True To The Best Of My Knowledge (Left Blank) Address
  14. Filed 1/22, 1914 Geo. A. Smith, Registrar
  15. Date of Death Jan. 18, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Cancer and genuine debility

    Duration

    Signed W. (?) Edmundson, M.D., Jany. 19, 1914 (Address) Bethel, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Shores Date of Burial 1/19, 1914
  20. Undertaker Hindman, (?) Address Pulaski




1. PLACE OF DEATH

County Giles Registration District No. (Left Blank) File No.

Civil Dist. 2

Village or City Prospect

  1. Full Name J. B. Hargrove
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth June 20, 1875
  6. Age 38 yrs. 7 mox. 3 da
  7. Occupation Merchant
  8. Birthplace Giles Co., Tenn
  9. Name of Father Jno. B. Hargrove
  10. Birthplace of Father Not Known
  11. Maiden Name of Mother Henrietta Carter
  12. Birthplace of Mother S. Carolina
  13. The Above Is True To The Best Of My Knowledge S. W. Hargrove Address Prospect, Tenn
  14. Filed , Registrar
  15. Date of Death Jany 23, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal (Left Blank) Date of Burial (Left Blank)
  20. 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

  1. Full Name Lola Kimbrough
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced
  5. Date of Birth April 2nd, 1912
  6. Age 1 yrs. 9 mos. 16 da
  7. Occupation
  8. Birthplace Tenn, Giles Co., 5th District
  9. Name of Father Elmer Kimbrough
  10. Birthplace of Father Tenn. Giles Co. 13th Dist.
  11. Maiden Name of Mother Maggie Dever
  12. Birthplace of Mother Tenn. Giles Co. 13th Dist.
  13. The Above Is True To The Best Of My Knowledge Elmer Kimbrough Address Lynnville, Tenn
  14. Filed Jan 21, 1914, Gil Thetford, Registrar
  15. Date of Death January 18, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Lynnville Cemetary Date of Burial Jan. 19, 1914
  20. 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

  1. Full Name Lusious R. Krapp
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth Jan. 10, 1829
  6. Age 75 yrs.
  7. Occupation Farmer
  8. Birthplace (Unreadable Michagain)
  9. Name of Father John G. Krapp
  10. Birthplace of Father
  11. Maiden Name of Mother
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge J. M. Hayes Address Pulaski, Rt. #6
  14. Filed 1/12, 1914, B. E. Holt, Registrar
  15. Date of Death Jan 12, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Brights Disease

    Duration 2 yrs.

    Contributory

    Signed G. D. Butler, M. D., Jan 1914 (Address) Pulaski, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Moriah Date of Burial Jan. 13, 1914
  20. 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

  1. Full Name Sarah Jane Harwell
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth May 23, 1840
  6. Age 73 yrs. 1 mos. 16 das.
  7. Occupation Housewife
  8. Birthplace Giles Co., Tenn
  9. Name of Father Stephen Williams
  10. Birthplace of Father Tenn
  11. Maiden Name of Mother Cla(unreadable) Harwell
  12. Birthplace of Mother Tenn
  13. The Above Is True To The Best Of My Knowledge R. A. Harwell Address Pulaski, R. F. D.6
  14. Filed 1/12,1914, B. E. Holt, Registrar
  15. Date of Death Jan 9, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Sinility & LaGriffo

    Duration

    Signed G. D. Butler, M. D., Jan. 12, 1914 (Address) Pulaski, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Williams Grave Yard Date of Burial Jan. 10, 1914
  20. 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

  1. Full Name William Simpson Whitfield
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth May 12, 1837
  6. Age 76 yrs. 8 mos. 19 das.
  7. Occupation Farmer
  8. Birthplace Giles Co., Tennessee
  9. Name of Father Willis Whitfield
  10. Birthplace of Father N. A.
  11. Maiden Name of Mother Polly Smipson
  12. Birthplace of Mother Giles Co., Tennessee
  13. The Above Is True To The Best Of My Knowledge Roy Whitfield Address Pulaski, Rt.
  14. Filed Jan. 31, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 31, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Prospect Date of Burial Feb. 1, 1914
  20. 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

  1. Full Name James Jeferson Owen
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Sept. 30, 1854
  6. Age 59 yrs. 3 mo. 4 das.
  7. Occupation Farmer
  8. Birthplace Lawrence Co., Tenn.
  9. Name of Father John Owen
  10. Birthplace of Father not known
  11. Maiden Name of Mother Mandy Brown
  12. Birthplace of Mother Not listed
  13. The Above Is True To The Best Of My Knowledge G. W. Evans Address Boon Hill, Tenn
  14. Filed Jan. 7, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 2, 1914
  16. 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.
  17. 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

  18. Length of Residence 10 yrs. In the state 59 yrs.
  19. Place of Burial or Removal Bethesda Date of Burial Jan. 3, 1914
  20. 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

  1. Full Name Robert U. Johnson
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth Not Known
  6. Age 89 yrs. 8 mos. 5 das.
  7. Occupation Farmer
  8. Birthplace Charlotte, Va.
  9. Name of Father Hickerson Johnson
  10. Birthplace of Father Unknown
  11. Maiden Name of Mother Ann Johnston
  12. Birthplace of Mother Va
  13. The Above Is True To The Best Of My Knowledge W. H. Johnson Address Pulaski, Rt. #4
  14. Filed Jan. 10, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 6, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Old House (?) Date of Burial Jan. 7, 1914
  20. 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

  1. Full Name Addie Shelton
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced (Left Blank)
  5. Date of Birth Jan. 28, 1829
  6. Age If Less than 1 day, __ hrs. or 21 min.
  7. Occupation Farmer
  8. Birthplace Giles County
  9. Name of Father James Shelton
  10. Birthplace of Father Giles County
  11. Maiden Name of Mother Addie Cole
  12. Birthplace of Mother Giles County
  13. The Above Is True To The Best Of My Knowledge Addie Shelton Address Pulaski, Rt.
  14. Filed Jan. 28, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 28, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Premature Birth

    Duration

    Contributory

    Signed E. C. Freeman, M. C., Jan 24, 1914 (Address) Pulaski, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Date of Burial
  20. 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

  1. Full Name Mrs. Nora Long
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Sept. 6, 1872
  6. Age 41 yrs. 4 mos. 11 das.
  7. Occupation Housewife
  8. Birthplace Giles County
  9. Name of Father Frank Reynolds
  10. Birthplace of Father Giles County
  11. Maiden Name of Mother Mary Jane Horne
  12. Birthplace of Mother Giles County
  13. The Above Is True To The Best Of My Knowledge W. A. Reynolds Address Pulaski, Rt.
  14. Filed Jan. 6, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 24, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Pneumonia

    Duration

    Contributory

    Signed E. C. Freeman, M. D., Jan 24, 1914 (Address) Pulaski, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Mt. My(?) Date of Burial Jan. 24, 1914
  20. 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

  1. Full Name Margery Ann McCord
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth April 21st, 1838
  6. Age 75 yrs. 8 mos. 20 das.
  7. Occupation
  8. Birthplace Lincoln County, Tennessee
  9. Name of Father Parker Shaford
  10. Birthplace of Father North Carolina
  11. Maiden Name of Mother Sarah Br(?)
  12. Birthplace of Mother Lincoln Co., Tenn
  13. The Above Is True To The Best Of My Knowledge L. W. McCord Address Pulaski, Rt.
  14. Filed Jan. 11, 1914 E. C. Freeman, Registrar
  15. Date of Death Jan 10, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Maplewood Cemetary Date of Burial Jan. 11, 1914
  20. 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

  1. Full Name Dewit Clinton Kimbrough
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth 8-31, 1840
  6. Age 74 yrs. 9 mos. 13 das.
  7. Occupation Farmer
  8. Birthplace Giles Co, Tenn
  9. Name of Father Henry Kimbrough
  10. Birthplace of Father North Carolina
  11. Maiden Name of Mother Ursula Anthoney
  12. Birthplace of Mother North Carolina
  13. The Above Is True To The Best Of My Knowledge (Informant) John Kimbrough Address Aspen Hill, Tenn
  14. Filed 2/24, 1914 Registrar(unreadable)
  15. Date of Death 2-14, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Cancer of the (unreadadable)

    Duration

    Contributory

    Signed (Address)

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal 21 Dist Giles Co., Date of Burial 2/15, 1914
  20. 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

  1. Full Name Rufus Ward
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Single
  5. Date of Birth Dec. 2, 1908
  6. Age 5 yrs. 2 mos.
  7. Occupation
  8. Birthplace Egnews Creek, Tenn
  9. Name of Father Andrew Ward
  10. Birthplace of Father Egnews Creek, Tenn
  11. Maiden Name of Mother Viola Barnes
  12. Birthplace of Mother Lewisburg, Tenn
  13. The Above Is True To The Best Of My Knowledge (Informant) Andrew J. Ward Address Goodsprings, Tenn
  14. Filed 2/3, 1914; B. E. Holt, Registrar
  15. Date of Death Feb 2, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Pleurisy (adhesive)

    Duration

    Contributory Pneumonia Interlob

    Signed Jno. S. Harris, Feb 3, 1914 (Address) Minor Hill, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Chestnut Grove Date of Burial Feb. 3, 1914
  20. 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

  1. Full Name Laura Sparks
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth 1854
  6. Age 60 yrs.
  7. Occupation Housewife
  8. Birthplace Tenn.
  9. Name of Father Jessie Kirkland
  10. Birthplace of Father Tenn
  11. Maiden Name of Mother Can't Remember
  12. Birthplace of Mother Tenn
  13. The Above Is True To The Best Of My Knowledge (Informant) Betsy Sparks Address Prospect
  14. Filed Mar. 24, 1914; E. T. Harwell, Registrar
  15. Date of Death Mar 16, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Heart (?) ble

    Duration

    Contributory

    Signed L. L. Gilbert, M.D. (Address) Prospect, Tenn

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Nelson Graveyard Date of Burial Mar. 17, 1914
  20. 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

  1. Full Name Bettie Miller Phillips
  2. Sex Female
  3. Color or Race Col
  4. Single, Married, Widowed or Divorced Widowed
  5. Date of Birth June 25, 1878
  6. Age 36
  7. Occupation Cook
  8. Birthplace Muffresboro, Tenn
  9. Name of Father
  10. Birthplace of Father
  11. Maiden Name of Mother
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge (Informant) Unsigned Address
  14. Filed Jan. 11, 1914, E. C. Freeman, Registrar
  15. Date of Death 1-9, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Gastric ulcer of stomach

    Duration

    Contributory Chronic Indigestion

    Signed J. C. (?) (Address) Pulaski

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Murffresboro, Tenn Date of Burial Jan. 11, 1914
  20. 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

  1. Full Name Alice Maxwell
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widow
  5. Date of Birth (No date of birth given on form)
  6. Age 38
  7. Occupation washing and ironing
  8. Birthplace Giles Co. St. of Tenn
  9. Name of Father Ale(?)t Harwood
  10. Birthplace of Father
  11. Maiden Name of Mother
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge (Informant) L. D. Young Address Pulaski
  14. Filed Feb. 25, 1914; E. C. Freeman, Registrar
  15. Date of Death Feb. 24, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Maplewood Date of Burial Feb. 25, 1914
  20. 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

  1. Full Name Josie Lee Wheeler
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Not listed
  6. Age 1 mo. 19das
  7. Occupation
  8. Birthplace Brick Church Giles Co Tenn
  9. Name of Father A. B. Wheeeler
  10. Birthplace of Father Brick Church Giles Co Tenn
  11. Maiden Name of Mother Mary Eliza Wolaver
  12. Birthplace of Mother Diana Tenn
  13. The Above Is True To The Best Of My Knowledge (Informant) Not Listed Address
  14. Filed 2-27, 1914; Registrar Not Listed
  15. Date of Death Jan 3, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Date of Burial
  20. 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

  1. Full Name Robert Aymett Hardin
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced  
  5. Date of Birth Feb. 6, 1914
  6. Age 1 mo.
  7. Occupation
  8. Birthplace Giles Co., Tenn
  9. Name of Father John Hardin
  10. Birthplace of Father Giles Co.
  11. Maiden Name of Mother Hattie Johns
  12. Birthplace of Mother Giles Co.
  13. The Above Is True To The Best Of My Knowledge (Informant) Mrs. W. C. Mason Address Pulaski, Tenn
  14. Filed 3-10, 1914; D. E. Smith Registrar
  15. Date of Death March 6, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    It was found in bed.

    Duration

    Contributory

    Signed (Address)

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Beech Hill Date of Burial 3-8, 1914
  20. 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

  1. Full Name Lewis Burford Thurman
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Aug. 29, 1883
  6. Age 30 yrs. 5 mos. 29 das.
  7. Occupation Merchant
  8. Birthplace Ylkley, Tenn
  9. Name of Father Willis James Thurman
  10. Birthplace of Father Maury Co., Tenn
  11. Maiden Name of Mother Sinnie Elisabeth Trice
  12. Birthplace of Mother Giles Co., Tenn
  13. The Above Is True To The Best Of My Knowledge (Informant) Will Thurman Address Lynnville, Tenn
  14. Filed Feb. 25, 1914; W. F. Copeland Registrar
  15. Date of Death Feb. 24, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Pulmonary Tutiercolosis

    Duration

    Contributory

    Signed W. E. Black M. D.; Feb 27, 1914 (Address) Lynnville

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Gibsonville Date of Burial Feb. 25, 1914
  20. 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

  1. Full Name
  2. Sex Male
  3. Color or Race Single
  4. Single, Married, Widowed or Divorced Single
  5. Date of Birth Feb. 24, 1914
  6. Age 7 hrs. old
  7. Occupation
  8. Birthplace Tennessee
  9. Name of Father Eri(?) Samuel Henson
  10. Birthplace of Father Maury Co.
  11. Maiden Name of Mother Susie Katherine Tylor
  12. Birthplace of Mother (Not Listed)
  13. The Above Is True To The Best Of My Knowledge (Informant) Ercom(?) Henson Address Yokley
  14. Filed 3/9, 1914; W. G. Co(Unreadable) Registrar
  15. Date of Death Feb. 25, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Atelecosis

    Duration

    Contributory

    Signed W. E. Black Mar. 7, 1914 (Address) Lynnville

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Gibsonville Date of Burial Feb. 25, 1914
  20. 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

  1. Full Name Adelade Caldwell
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Divorced
  5. Date of Birth Jan. 29, 1849
  6. Age 65 yrs. 19 das.
  7. Occupation Housewife
  8. Birthplace Tennessee
  9. Name of Father Jack Caldwell
  10. Birthplace of Father VA
  11. Maiden Name of Mother Elizabeth Mary James
  12. Birthplace of Mother VA
  13. The Above Is True To The Best Of My Knowledge (Informant) W. J. Campbell Address (Unreadable)
  14. Filed Feb. 18, 1914; E. T. Harwell, Registrar
  15. Date of Death Feb. 17, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Tuberculosis

    Duration

    Contributory

    Signed S. H. Wallis, M. D. (Address)

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Nelson Graveyard Date of Burial Feb. 18, 1914
  20. 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

  1. Full Name Robert Carpentar
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced
  5. Date of Birth
  6. Age 63 yrs.
  7. Occupation Farmer
  8. Birthplace Tenn
  9. Name of Father
  10. Birthplace of Father
  11. Maiden Name of Mother
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge (Informant) Address
  14. Filed R. L. Wagstaff, Registrar
  15. Date of Death Mar 5, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Brights (Unreadable) & Stomach troubles

    Duration

    Contributory

    Signed R. H. Carter (Address)

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Near Lynnville Date of Burial Mar 5, 1914
  20. 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

  1. Full Name Benjamin Thomas Clark
  2. Sex Male
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth Sept 5, 1873
  6. Age 41 yrs. 5 mos. 18 das.
  7. Occupation Farmer
  8. Birthplace Diana Giles Co
  9. Name of Father A Porter Clark
  10. Birthplace of Father Giles Co
  11. Maiden Name of Mother Frances
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge (Informant) Jackson Clark Address R #1 Brick Church
  14. Filed Feb 24, 1914; L. E. Wheat, Registrar
  15. Date of Death Feb. 23, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Appendicial abscess

    Duration

    Contributory

    Signed Luther E. Wheat (Address) Brick Church

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Mt. Pleasant Date of Burial Feb. 24, 1914
  20. 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

  1. Full Name May Hood
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Married
  5. Date of Birth 1893
  6. Age 21
  7. Occupation Housewife
  8. Birthplace Tenn
  9. Name of Father Jno Williams
  10. Birthplace of Father Tenn
  11. Maiden Name of Mother Jackson
  12. Birthplace of Mother Tenn
  13. The Above Is True To The Best Of My Knowledge (Informant) D. T. A. Whitfield Address Veto Ala
  14. Filed Feb. 25, 1914, Registrar
  15. Date of Death Feb. 20, 1914
  16. 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.
  17. 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

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal Pettersville Ala Date of Burial Feb. 21, 1914
  20. 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

  1. Full Name Angie Marks
  2. Sex Female
  3. Color or Race White
  4. Single, Married, Widowed or Divorced Widowed
  5. 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.)
  6. Age 83 yrs. 6 mos. 8 das.
  7. Occupation Housewife
  8. Birthplace Giles Co. Tenn
  9. Name of Father Lewis B. Mark
  10. Birthplace of Father Giles Co Tenn
  11. Maiden Name of Mother Unreadable
  12. Birthplace of Mother
  13. The Above Is True To The Best Of My Knowledge (Informant) B. M. Black Address Pulaski Tenn
  14. Filed 2-16 1914; L. E. Wheat, Registrar
  15. Date of Death February 12, 1914
  16. 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.
  17. THE CAUSE OF DEATH was as follows:

    Lobar Pneumonia

    Duration

    Contributory

    Signed Dr. C. S. Hollom(?) Feb. 16, 1914 (Address) R. R. #8 Pulaski

  18. Length of Residence (Left Blank)
  19. Place of Burial or Removal mark Semitery (sic) Date of Burial Feb. 13, 1914
  20. Undertaker Hindman, Oliver & (Unreadable) Address Pulaski