Genealogy Pages for Northern Middle TN
Death Certificate for Jas. M. KEPLEY
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 12, Village or City: Greenbrier Reg. Dist.: 47512, Primary Reg. Dist.: 12, Reg. No.: 13 Full Name: Jas. M. KEPLEY Sex: Male Race: White Marital Status: married Date of Birth: (blank) Age: 66 yrs. 5 mos. Occupation: Shoemaker Nature of Industry: Active Birthplace: Tennessee Name of Father: Robert KEPLEY Birthplace of Father: (blank) Maiden Name of Mother: Sophronia SIMONS Birthplace of Mother: Tennessee Informant: Miss Maggie KEPLEY Address: Greenbrier, Tenn. Filed: 04/29/1917 Maude Briggs, Registrar Date of Death: 04/29/1917 The physician attended deceased from 04/29/1917 to 04/29/1917 Death occurred on date stated above at: 12 -M Cause of Death: Angina Pectoris Death Sudden Signed: T. L. Johnson, M. D. 04/29/1917 Address: Greenbrier, Tenn. Place of Burial or Removal: Vantrace Church Date of Burial: 04/30/1917 Undertaker: R. G. Gleaves Address: Greenbrier |