CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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William R. Sharp
Reg. Number: 44808; Reg.
District: 481
Certificate Number: 5336
Name: William R.
Sharp Residence: Elk Valley,
Tennessee Sex: Male Race: white Date of
Birth: 03 May 1861 Place of
Birth: Campbell County, Tennessee Date of Death: 29 Mar 1943 Place of Death: Eastern State Hospital-Knoxville,
Tennessee Age: 81 years 10 months 26
days Marital Status: Married
Spouse, if living: unknown Age of Spouse, if living: If Veteran, Name of War: Social Security Number: Occupation: retired farmer Industry or Business: (left blank) Father's Full Name: unknown Father's Birthplace: unknown Mother's Full Maiden Name: Nancy Sharp
Mother's Birthplace: Elk
Valley,Tennessee Cause of Death:
exhaustion - Due to:
senility
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Other conditions: (left blank)
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Operation?: (left blank)
- Autopsy?: (left blank)
If death was due to external causes, fill in the
following: - Accident, Suicide,
or Homicide: (left blank)
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Date of Occurrence:
19
- Where did the injury occur: (left
blank)
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Did injury occur in or about home, on farm,
in industrial place, in public place?: (left blank)
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While at work: (left blank)
- Means of Injury: (left blank)
Informant: Eastern State Hospital
Records Informant Address:
Knoxville, Tennessee Burial, Removal, or
Cremation: removal Date:
19 Undertaker: Ellison Funeral
Home Address: Jellico,
Tennessee By: Date Filed: 01 Apr 1943 Registrar: Winifred C. McGuire Signature: B. F. Peterson Address: Eastern State Hospital, Knoxville,
Tennessee Submitter's Name: Kathy
Sharp Chasteen
Relationship to the Deceased: gg-
niece
Comments: William Riley Sharp
was the illegitimate son of Nancy Sharp. He married Eliza Jane Lay
10/12/1879 in Campbell County,Tn. I believed she died in 1936.
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