Genealogy Pages for Northern Middle TN
Death Certificate for Etta SCOTT
Following is a transcription of the above person's (TN) death certificate:
Name: Etta SCOTT
Date of Death: April 17, 1949
Race: White Sex: Female (Marital Status):
Widowed
Date of Birth: Nov. 27, 1868 ? (last digit of birth year is unclear--could be 1860
or 1869.)
Age: 80 yrs. 4 mos. 20 ds.
Place of Death: Dekalb County, Civil District 1, City or Town: Rural
Length of Stay: 30 yrs.
Usual Residence of Deceased: Tenn., Dekalb Co., Civil District 1, City or Town: Rural
Street Address: Alexandria R. F. D. # 1
Usual Occupation: Housewife
Social Security Number: --
Was Deceased Ever in U. S. Armed Forces? No
Birthplace: Tennessee
Citizen of what country? U. S. A.
Father's Name: Isaac JOHNSON
Mother's Maiden Name:
Paralee HAYS
Informant: L. E. SCOTT, Liberty, Tenn.
Cause of Death: Bronchopneumonia Interval between onset and
death: about 48 hrs.
Due to: Acute upper respiratory infection "
"
" "
" : 1 week
Due to: congestive heart failure with auricular fibrillation
Interval between onset and death: unknown
Date of Operation: None
Autopsy: No
Certified by H. O. MASON, M. D. Address: Alexandria,
Tenn. Date: 20 Apr. 1949
Burial, Cremation, Removal: Burial
Date of
Burial: Apr, 18, 1949
Name of Cemetery: Vanatta
Location:
Liberty R. F. D. #2 Tenn.
Funeral Director: J. ? EVANS Address:
Liberty, Tenn.
Registration District No. 42101 Date Signed by Local Reg.: Apr,
21, 1949
Registrar's Signature: Freedie(?) ALLEN