Genealogy Pages for Northern Middle TN
Death Certificate for Clyde Wayne MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: Clyde Wayne MATHIS
Date of Death: 7/4/1950
Race: White Sex: Male Marital
Status: Divorced
Date of Birth: 9/28/1908 Age: 41 yrs.
Place of Death: County: Davidson, Civil Dist. 1, City: Nashville
Length of Stay in this place: 2 years
Name of Hospital or Institution: Nashville General Hospital
Usual Residence: State: Tenn. County: Davidson, Civil Dist. 1, City: Nashville
Address: 117 Louise Avenue
Usual Occupation: Diesel Engineer Instructor
Type of Business: Electrical
Social Security No.: 409-18-6007
Was Deceased ever in U. S. Armed Forces?: No
Birthplace: Tennessee
Citizen of what
country?: U. S. A.
Father's Name: Walter MATHIS
Mother's Maiden Name: Zula ROBBS
Informant: Van MATHIS Address: Bruceton,
Tenn.
Cause of Death: Severe Cerebral Contusion
Interval between onset and death: 7 days Autopsy: No
Accident/Suicide/Homicide: Auto Accident
Place of Injury: Highway, Williamson County, Tenn.
Time of Injury: 6/27/1950 4PM
Injury occurred not while at
work
How did injury occur: Automobile accident
Additional information by physician: "21.9/27/50 L.E.L.
Traff. Off. States: Traff. Acc.
Rural, Franklin, Williamson Co.,
not at intersection 6-27-50 4:00 P.M. Driver of
auto that ran off roadway."
Certified by: Jack L. Clark, M. D.
Date of Certification:
7/6/1950
Address: Nashville General Hospital, Nashville, Tenn.
Burial/Cremation/Removal: Burial
Date of Burial:
7/5/1950
Name of Cemetery: Prospect
Location:
Carroll County, Tenn.
Funeral Director: Bruceton Funeral Home
Address: Bruceton, Tenn.
Reg. Dist. No. 21901 Date Signed by local
Reg.: 7/14/1950
Registrar: J. W. Ellis