Genealogy Pages for Northern Middle TN
Death Certificate for Robert L. STARK
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 15, Village or City: Cross Plains Reg. Dist.: 47515, Reg. No.: 47515, File No.: 136 Full Name: Robert L. STARK Sex: male Race: white Marital Status: single Date of Birth: 04/19/1898 Age: 19 yrs. 12 ds. Occupation: Farmer Birthplace: Robertson County, Tenn. Name of Father: T. J. STARK Birthplace of Father: Robertson County, Tenn. Maiden Name of Mother: Willie C. F. GIBBS Birthplace of Mother: Simpson County, Ky. Informant: T. J. STARK Address: Springfield, Tenn. Filed: 1917 C. K.? Howard, Registrar Date of Death: 05/01/1917 The physician attended deceased from 04/01/1917 and last saw him alive on 04/21/1917 Cause of Death: was killed instantly by a ---de Duration: instant Contributory: none Signed: Jas. Thomas, M. D. <no date given> Address: Cross Plains Place of Burial or Removal: Pleasant Grove Cemetery Date of Burial: 05/02/1917 Undertaker: J. C. Barber & Sons Address: Springfield, Tenn. |