Campbell County Death Certificates

CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS

 
Richard Ault
Reg. Number:  5; Reg. District: 40703
Certificate Number: 10600

Name: Richard Ault
Residence: Caryville, Tennessee
Sex: Male
Race: White
Date of Birth:
Place of Birth: Tennessee
Date of Death: 06 May 1928
Place of Death: Caryville, Tennessee
Age: 80
Marital Status: Widowed
Spouse, if living: left blank
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Miner
Industry or Business: (left blank)
Father's Full Name: Richard Ault
Father's Birthplace: Tennessee
Mother's Full Maiden Name: left blank
Mother's Birthplace: left blank
Cause of Death: Vascular Heart Disease
  • Due to: (left blank)
  • Other conditions: (left blank)
  • Operation?: (left blank)
  • Autopsy?: (left blank)
If death was due to external causes, fill in the following:
  • Accident, Suicide, or Homicide: (left blank)
  • Date of Occurrence:
  • Where did the injury occur: (left blank)
  • Did injury occur in or about home, on farm, in industrial place, in public place?: (left blank)
  • While at work: (left blank)
  • Means of Injury: (left blank)
Informant: Joe Beech
Informant Address: Caryville, Tennessee
Burial, Removal, or Cremation: Burial
Date: 08 May 1928
Undertaker: left blank
Address: left blank
By: left blank
Date Filed: 11 Jun 1928
Registrar: R. L. Gallsher
Signature:
Address:

Submitter's Name: Rick Chambers
Submitter's Email: RLChambers@fuse.net
Relationship to the Deceased: Great Grandson

Comments: List age as 80, he was 70 at time of death. Richard was born in 1858. Richard's mother was Hannah Hatmaker. Richard is buried in Brown Cemetery on Brown Flat Road in Anderson County.



 


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