Campbell Death Certificate


Barbara Ruth Gilliard
Reg. Number:  ; Reg. District:
Certificate Number:


Name: Barbara Ruth Gilliard
Residence: 312 North 7th St. Lafollette, Tn. 37766
Sex: Female
Race: Black
Date of Birth: 08 Jul 1955
Place of Birth: Lafollette, Tennessee
Date of Death: Apr 1966
Place of Death: Lafollette, Tennessee
Age: 11
Marital Status: Single
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Industry or Business: (left blank)
Father's Full Name: Edward Boyce Gilliard
Father's Birthplace: Elberton, Georgia
Mother's Full Maiden Name: Susie Mae Moore
Mother's Birthplace:
Cause of Death: Drowning
  • 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: 19
  • 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: John Charles Gilliard
Informant Address: 5467 Santa Monica St. Memphis, Tn. 38116
Burial, Removal, or Cremation: Burial
Date: Apr 1966
Undertaker: Cross Funeral Home, Inc.
Address: 301 E. Central Av. Lafollette, Tn. 37766
By: don't know info.
Date Filed: 19
Registrar: don't know info
Signature: n/a
Address: n/a

Submitter's Name: John Charles Gilliard
Submitter's Email: john.gilliard@ge.com
Relationship to the Deceased: Brother

Comments: I am having trouble finding my sister's information


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