Genealogy Pages for Northern Middle TN
Death Certificate for John BLACK
Following is a transcription of the above person's (TN) death certificate:
Reg. No. 26412 Reg. Dist. No. 641
Full Name: John BLACK
Date of Death: 6/13/1947
Place of Death: County: Montgomery, Civil Dist. 12,
City or Town: Clarksville
Name of Hospital: (blank) Length of Stay
in Hospital: (blank)
In Community: (blank)
Usual Residence: State: Tennessee County: Henry
Civil Dist.: (blank)
City or Town: Rural Street
No.: R#1 Citizen of Foreign Country? No
Race: W Sex: M
Marital Status: Married
Age: 49 yrs. 5 mos. 24 ds.
Date of Birth: 12/19/1897
Place of Birth: City or County: Montgomery State or Country:
Tenn.
Husband or Wife of: Allie BITER
Age of Husband or Wife, if Living: 50 years
If Veteran Name of War: (blank)
Social Security Number: (blank)
Usual Occupation: Locomotive Engineer
Industry or
Business: R. R. Eno Tenn.
Name of Father: Dan BLACK
Birthplace of Father: city or county: Montgomery state or country:
Tenn.
Maiden Name of Mother: Martha BAGGETT
Birthplace of Mother: city or county: Montgomery
state or country: Tenn.
Informant: Margaret Ann BLACK Address: RFD #1
Paris, Tenn.
Burial, Removal, or Cremation: Burial
Date: 6/15/1947
Cemetery: Maplewood
Place:
Paris, Tenn.
Undertaker: Spicer & McEvoy Address:
Paris, Tenn. by: PLS
Date Filed: 6/24/1947
Frances Hyams, Deputy
Death occurred at: (blank)
Immediate Cause of Death: (blank)
Accident, Suicide, or Homicide: accident
Date of Occurrence: 6/13/1947
Where did Inury Occur: City: Clarksville County: Mntg
State: Tenn.
In Public Place?: Public Place While at Work: yes
Means of Injury: R. R. Wreck
Signed by: J. W. Burney, Corroner Address: Clarksville,
Tenn. Date: 6/19/1947
Certified Copy Issued: 7/11/1947 Number: 32332-33-30
(to:) Mrs. Jno. BLACK, Paris, Tenn.
Additional Information by Physician: John BLACK was Engineer on L. & N. R. R.
Engine. They were turning the draw bridge testing it out
and his engine went
into the Cumberland River. He was either killed in the
wreck or drowned.