Genealogy Pages for Northern Middle TN
Death Certificate for Paula June MATHIS
Following is a transcription of the above person's (TN) death certificate:
Name: Paula June MATHIS
Date of Death: 12/3/1949
Race: Negro Sex: Female
Marital Status: (blank)
Date of Birth: 5/11/1949 Age: 6 mos. 22
da.
Place of Death: County: Davidson, Civil Dist. 1st, City: Nashville
Length of Stay in this place: (blank)
Name of Hospital or Institution: Hubbard Hospital
Usual Residence: State: Tenn. County: Davidson, Civil Dist. 1, City: Nashville
Address: 530 32nd Ave. N.
Usual Occupation: (blank)
Social Security No.: (blank)
Was Deceased ever in U. S. Armed Forces?: (blank)
Birthplace: Tenn.
Citizen of what
country?: U. S. A.
Father's Name: John R. MATHIS
Mother's Maiden Name: Beatrice E. CRAWLEY
Informant: Beatrice MATHIS Address:
530 32nd Ave. N.
Cause of Death: Terminal Bronchopneumonia
Interval between onset and death: 2 da.
Due to: Myocarditis with Failure
Interval between onset and death: 1 wk.
Certified by: R. T. Smith(?), M. D.
Address:
Hubbard Hospital
Date of certification: 12/21/1949
Burial/Cremation/Removal: Burial
Date of Burial:
12/6/1949
Name of Cemetery: Greenwood
Location:
Davidson--Tenn.
Funeral Director: Taylor & Co.
Address: 449 4th Ave. S.
Reg. Dist. No. 21901 Date Signed by local
Reg.: 12/30/1949
Registrar: J. W. Ellis