Genealogy Pages for Northern Middle TN
Death Certificate for Joseph Richard MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: Joseph Richard MATHIS
Date of Death: 4/15/1950
Race: White Sex: Male Marital
Status: Single
Date of Birth: 5/23/1860 Age: 89 yrs.
Place of Death: County: Cheatham, Civil Dist. 14, City: Rural
Length of Stay in this place: 7 years
Name of Hospital or Institution: None
Usual Residence: State: Tenn. County: Cheatham, Civil Dist. 14, City: Rural
Address: Rt. 1, Chapmansboro, Tenn.
Usual Occupation: Farmer Type of Business: Farm
Social Security No.: None
Was Deceased ever in U. S. Armed Forces?: No
Birthplace: Trigg County, KY
Citizen of what
country?: U. S. A.
Father's Name: Andrew MATHIS
Mother's Maiden Name: Unknown
Informant: Mr. J. B. BARNETT Address: Rt.
1, Chapmansboro, Tenn.
Cause of Death: Senility--"(this is the best report I can make. Had not seen
him for several
weeks. Could have been apoplexy--myocarditis, etc."
Interval between onset and death: (blank)
Date of Operation: no operation Autopsy: No
Accident/Suicide/Homicide: Neither
No Injury
Certified by: J. M. Harris, M. D.
Address:
Thomasville(?), Tennessee
Date of certification: 4/26/1950
Burial/Cremation/Removal: Burial
Date of Burial:
4/16/1950
Name of Cemetery: Riverview
Location:
Clarksville, Tenn.
Funeral Director: Milligan & Ridgeway
Address: Dover, Tenn.
Reg. Dist. No. 41114 Date Signed by local
Reg.: 5/2/1950
Registrar: Nancy H. Johnson, Dep.