Genealogy Pages for Northern Middle TN
Death Certificate for Jack SMITH
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Fentress, Civil Dist. 2, Village or City: Pall Mall Reg. Dist.: 42502, Primary Reg. Dist.: 2, Reg. No.: 10 Full Name: Jack SMITH Race: Male Race: White Marital Status: Married Date of Birth: (blank) Age: 33 yrs. Occupation: Farmer Birthplace: Tenn. Name of Father: Jess SMITH Birthplace of Father: dont no Maiden Name of Mother: Catharine CONATSER Birthplace of Mother: Tenn. Informant: R. C. PILE Address: Pall Mall, Tenn. Filed by: Marvin Williams, Registrar Date of Death: 08-01-1916 Cause of Death: Informant says Killed by Lightning Place of Burial: (blank) Date of Burial: 08-02-1916 Undertaker: (blank) Address: (blank) |