Genealogy Pages for Northern Middle TN
Death Certificate for Sina ROARK
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Macon, Civil Dist.: 9, Village or City: Lafayette R 6 Reg. Dist.: 45509 Full Name: Sina ROARK Sex: Female Race: White Marital Status: Widow If married, widowed, or divorced, husband or wife of: widow Date of Birth: (blank) Age: 84 yrs. 11 mos. 13 ds. Occupation: Housekeeper Birthplace: Macon Co., Tenn. Name of Father: Matterson EAST <yes spelled Matterson> Birthplace of Father: Macon Co., Tenn. Maiden Name of Mother: Mary LEE Birthplace of Mother: Macon Co., Tenn. Informant: Tilda SCOTT Address: Lafayette, Tenn. R. 6 Burial, Cremation or Removal Place: Rwk.? Cem. Date of Burial: 02/03/1934 <They probably meant Roark Cem.> Undertaker: (blank) Filed: 02/02/1934 T. T. Tucker, Registrar Date of Death: 02/02/1934 The physician attended deceased from 01/20/1934 to 02/02/1934 and last saw her alive on 01/21/1934 Death occurred on date stated above at: 6 AM Principal Cause of Death: Flu Signed: T. D. Wilson, M. D. Address: Lafayette, Tenn. R. 6 |