Campbell County Death Certificates


John Green
Reg. Number:  2; Reg. District: 40702
Certificate Number: 0702

Name: John Green
Residence: LaFollotte, Campbell Co. Tn. R.#2
Sex: Male
Race: White
Date of Birth: 08 Aug 1862
Place of Birth: Campbell Co. Tn.
Date of Death: 04 Feb 1941
Place of Death: LaFollotte, Campbell Co.Tn. Rural
Age: 78 years 5 months 27 days
Marital Status: Single
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number: none
Occupation: Farmer
Industry or Business: (left blank)
Father's Full Name: Richard Green
Father's Birthplace: Sullivan, Va.
Mother's Full Maiden Name: Mary Jane Hutson
Mother's Birthplace: Sullivan, Va.
Cause of Death: Bronchial Pneumonia
  • Due to: Influenza
  • 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: Roy Prater
Informant Address: LaFollotte, Tenn.
Burial, Removal, or Cremation: Burial
Date: 05 Mar 1941
Undertaker: Agee & Walters
Address: LaFollotte
By: Walters
Date Filed: 11 Feb 1941
Registrar: A.J. Heatherly
Signature: J.P. Lindsey
Address: LaFollotte

Submitter's Name: Billie Sue Stinnett
Submitter's Email:
Relationship to the Deceased: Great Niece




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