Genealogy Pages for Northern Middle TN
Death Certificate for Mary Etta MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: Mary Etta MATHIS
Date of Death: 8/18/1949
Race: White Sex: Female
Marital Status: Widowed
Date of Birth: 9/20/1870 Age: 78 yrs. 11
mos. 2 da.
Place of Death: County: DeKalb, Civil Dist. 2nd, City: Rural
Length of Stay in this place: (blank)
Name of Hospital or Institution: (blank)
Usual Residence: State: Tenn. County: DeKalb, Civil Dist. 2, City: Liberty RFD # 1
Address: (blank)
Usual Occupation: Housewife
Social Security No.: (blank)
Was Deceased ever in U. S. Armed Forces?: (blank)
Birthplace: Tennessee
Citizen of what
country?: (blank)
Father's Name: L. B. HALE
Mother's Maiden Name: Betty MASON
Informant: Mrs. Carrie B. MCDUFFIE
Address: Liberty, R#1
Cause of Death: Arteritis
Interval between onset and death: (blank)
Certified by: (illegible), M. D.
Address:
Liberty, Tennessee
Date of certification: 10/10/1949
Burial/Cremation/Removal: Burial
Date of Burial:
10/19/1949
Name of Cemetery: Sycamore
Location:
Cannon RFD # Tenn.
Funeral Director: J. Q. Evans Address:
Liberty, Tennessee
Reg. Dist. No. (blank) Date Signed by
local Reg.: 10/12/1949
Registrar: Trudie Allen