Genealogy Pages for Northern Middle TN
Death Certificate for Ernest Dock MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: Ernest Dock MATHIS
Date of Death: 2/12/1950
Race: White Sex: Male Marital
Status: Married
Date of Birth: 1/14/1898 Age: 52 yrs.
Place of Death: County: Hickman, Civil Dist. 9th, City: Rural
Length of Stay in this place: (blank)
Name of Hospital or Institution: R#1 Centerville
Usual Residence: State: Tenn. County: Hickman, Civil Dist. 9th, City: Rural
Address: R#1 Centerville
Usual Occupation: Patrol Operator Type of
Business: Hickman Co. Hwy. Dept.
Social Security No.: 408-28-8895
Was Deceased ever in U. S. Armed Forces?: No
Birthplace: Tennessee
Citizen of what
country?: U. S. A.
Father's Name: Tom MATHIS
Mother's Maiden Name: Cresey Lynn
Informant: Hayes MATHIS Address:
Centerville, Tenn.
Cause of Death: Coronary Thrombosis
Interval between onset and death: few hours
Due to: Artero-sclerosis
Interval between onset and death: Don't know
Certified by: J. A. Busley(?), M. D. Date of Certification:
?/1950
Burial/Cremation/Removal: Burial
Date of Burial:
2/14/1950
Name of Cemetery: Wolfe Creek
Location: Hickman
Co., Tenn.
Funeral Director: McDonald Funeral Home
Address: Centerville, Tenn.
Reg. Dist. No. 44109 Date Signed by local
Reg.: 2/24/1950
Registrar: Eloise Warren, Dep.