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Following is a transcription of the above person's (TN) death certificate:
Reg. No. 84, Reg. Dist. No. 642
Full Name: Samuel Edward RAMEY
Date of Death: March 6, 1942
Place of Death: County: Montgomery, Civil District: 3rd, City or Town: Rural
Race: White Sex: Male (Marital Status):
Married
Age: 80 yrs. 1 mos. 26 ds.
Date of Birth: Jan. 10, 1862
Place of Birth: Carmie, Illinois
Husband of: Mrs. Mollie Hargrove RAMEY
Age of wife, if living: 80 yrs.
If veteran, name of war: (blank)
Social security number: (blank)
Usual occupation: Farmer Industry or
Business: Farmer
Name of Father: James Madison RAMEY
Birthplace of Father: Montgomery County, Tenn.
Maiden Name of Mother: Minty Jane DAVIS
Birthplace of Mother: Montgomery County, Tenn.
Informant: A. J. RAMEY Address: 626 Franklin St.,
Clarksville
Burial, Removal or Cremation: Burial
Date:
March 8, 1942
Cemetery: Martha Chapel Place: Cunningham, Tenn.
Undertaker: Tarpley's Address:
Clarksville, Tenn. by: Jno. B. Tarpley
Date Filed: Mar. 13, 1942
Mabel ? Rosson, Registrar
Legal Residence: State: Tenn., County: Montgomery, Civil District: 3rd,
City or Town: Clarksville R. F. D. # 4
The physician attended him from April ?, 1920 to Mar. 6, 1942
and last saw him alive on Mar. 6, 1942
Death occurred at: 11:18 PM
Immediate Cause of Death: Mitral Dysfunction Due to: Arteriosclerosis
Signature: S.(?) E. Henry Address: R. F. D. # 5,
Clarksville, Tenn Date: 3/6/1942