Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Houston, Civil Dist.: 4, Village or City: Erin, Tenn. Reg. Dist.: 421, Primary Reg. Dist.: 4, Registered No.: 29 Full Name: Marvin BRUMLEY? Sex: male Race: white Marital Status: married Date of Birth: 03/03/1875 Age: 42 yrs. 8 mos. 5 ds. Occupation: Laborer Nature of Industry: Stave Mill Birthplace: Stewart Co., Tenn. Name of Father: Jessie BRUMLEY? Birthplace of Father: Don't know Maiden Name of Mother: Mollie BEASON Birthplace of Mother: Georgia Informant: Mrs. Marvin BRUMLEY? Address: Erin, Tenn. Filed: 11/08/1917 J. W. Reynolds, Registrar Date of Death: 11/08/1917 The physician attended deceased from 11/06/1917 to 11/08/1917 and last saw him alive on 11/07/1917 Death occurred on date stated above at: 1 AM Cause of Death: Accidental Injury to Brain. Concussion resulting. Belt wound up & jerked a pulley down & struck him on head at a stave mill. Duration: 1 1/2 ds. Signed: J. S. Edwards, M. D. 11/08/1917 Address: Erin, Tenn. Place of Burial or Removal: Erin Cemetery Date of Burial: 11/08/1917 Undertaker: C. C. Cook Address: Erin, Tenn. |