Genealogy Pages for Northern Middle TN
Death Certificate for John Mathew PERRY
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 15, Reg. Dist.: 47515 Village or City: Cross Plains, File No.: 145, Reg. No.: 47515 Full Name: John Mathew PERRY Sex: Male Race: White Marital Status: Married Date of Birth: 06/29/1872 Age: 45 yrs. 5 mos. 2 ds. Occupation: Farmer Birthplace: Kentucky Name of Father: Mathew WILLIAMS Birthplace of Father: Don't know Maiden Name of Mother: Lucy PERRY Birthplace of Mother: Don't know Informant: Lucy Jane PERRY Address: Cross Plains Tenn. Filed: 12/15/1917 C. K. Howard, Registrar Date of Death: 12/01/1917 The physician last saw him alive on 12/01/1917 Death occurred on date above at 11 pm Cause of Death: Supposed to have been a clot on heart Signed: Jas. Thomas, M. D. Address: Cross Plains, Tenn. Place of Burial: Mt. Carmel Date of Burial: 12/02/1917 Undertaker: J. C. Barber & son Address: Springfield |