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Genealogy Pages for Northern Middle TN

Death Certificate for Elsie Jane MATHIS

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Following is a transcription of the above person's (TN) death certificate:

Name: Elsie Jane MATHIS
Date of Death: April 14, 1949
Race: W    Sex: F    Marital Status: Single
Date of Birth: April 6, 1949       Age at last birthday: 8 da.
Place of Death: County: Stewart, Civil Dist. 5, City: Rural
     Length of Stay in this Place: 8 days
     Name of Hospital or Institution: R. 3 Dover, Tenn.
Usual Residence of Deceased: State: Tenn.  County: Stewart, Civil Dist. 5
     City: Rural     Address: R. 3 Dover, Tenn.
Usual Occupation: (blank)          Kind of Business: (blank)
Social Security No. (blank)
Was Deceased ever in U. S. Armed Forces?: No
Birthplace: Stewart County, Tennessee           Citizen of what country? United States
Father's Name: James Lehman MATHIS
Mother's Maiden Name: Bertha ROBENSON
Informant: James I. MATHIS  Dover, Tenn. R. 3
Cause of Death: Premature Birth
Certified by: Chas. R. Crow(?), M. D.,              Dover, Tenn.
Date certified: 5/3/49
Burial/Cremation/Removal: Burial         Date of Burial: April 15, 1949
Name of Cemetery: Page       Location: R. 3. Dover, Tenn.
Funeral Director: Milligan & Ridgeway       Address: Dover, Tenn.
Reg. Dist. No. 48105              Date signed by local reg. May 9, 1949
Registrar's Signature: Mrs. Ray A. Nelson (?)

� 2001 Vanessa Slea