Genealogy Pages for Northern Middle TN
Death Certificate for Sandia Agnes TUCKER
Following is a transcription of the above person's (TN) death certificate:
Reg. No. 26412 Reg. Dist. No. 641
Full Name: Sandia Agnes TUCKER
Date of Death: 9/14/1947
Place of Death: County: Montgomery, Civil Dist. 12,
City or Town: Clarksville
Name of Hospital: 404 Bailey St.
Length of Stay in Hospital: (blank)
In Community: (blank)
Usual Residence: State: Tennessee County: Montgomery
Civil Dist.: 12
City or Town: Clarksville
Street No.: 404 Bailey St.
Citizen of Foreign Country? No
Race: Col Sex: F
Marital Status: Married
Age: 74 yrs. 5 mos.
Date of Birth: 4/14/1873
Place of Birth: City or County: Herndon State or Country:
Ky.
Husband or Wife of: Robert TUCKER
Age of Husband or Wife, if Living: (blank) years
If Veteran Name of War: (blank)
Social Security Number: (blank)
Usual Occupation: Housewife
Industry or
Business: (blank)
Name of Father: Prentice WILLIAMS
Birthplace of Father: city or county: x state or country: x
Maiden Name of Mother: Amandy TURNEY
Birthplace of Mother: city or county: x
state or country: x
Informant: Robt. Nelson TUCKER Address: 404
Bailey St.
Burial, Removal, or Cremation: Burial
Date: 9/17/1947
Cemetery: Evergreen
Place:
Clarksville
Undertaker: Roberts I--- & Vance
Address: 903 Franklin St.
by: C. D. Vance
Date Filed: 10/20/1947
Frances Hyams, Deputy
The physician attended her from 9/10/1947 to 9/14/1947
and last saw her alive on 9/10/1947
Death occurred at: (blank)
Immediate Cause of Death: Cerebral hemorrhage Due to:
Hypertension
Signed by: J. H. Ledbetter, M. D. Address:
Clarksville Date: 10/7/1947