Genealogy Pages for Northern Middle TN
Death Certificate for John Henry MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: John Henry MATHIS
Date of Death: Jan. 19, 1949
Race: Col. Sex: Male Marital Status: Divorced
Date of Birth: July 18, 1890 Age at last birthday: 58
yrs. 6 mo. 1 da.
Place of Death: County: Montgomery, Civil Dist. 12, City: Clarksville
Length of Stay in this Place: 22 years
Name of Hospital or Institution: 536 Poston St.
Usual Residence of Deceased: State: Tenn. County: Montgomery, Civil Dist. 12
City: Clarksville Address: 536 Poston St.
Usual Occupation: Truck Driver Kind
of Business: Public Hauling (self)
Social Security No. (blank)
Was Deceased ever in U. S. Armed Forces?: No
Birthplace: Tennessee Citizen of
what country? U. S. A.
Father's Name: Burl MATHIS
Mother's Maiden Name: Lucy WESTERN
Informant: Maggie Caruthers, Clarksville
Cause of Death: Cardiac Insufficiency
Interval between onset and death: on or about 2 months
Date of Operation: none
Accident/Suicide/Homicide: none
Time of Injury: none
Certified by: W. E. Parnell(?), M. D., 615 Franklin St., Clarksville, Tenn.
Date certified: 1/21/49
Burial/Cremation/Removal: Burial Date of
Burial: Jan. 21, 1949
Name of Cemetery: Golden Hill Location: Clarksville,
Tenn.
Funeral Director: Dowdy & Foston Address:
Clarksville, Tenn.
Reg. Dist. No. 26312
Date signed by
local reg. 1/25/49
Registrar's Signature: T. J. Malone (?)