CERTIFICATE OF DEATH
STATE OF TENNESSEE
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF VITAL STATISTICS
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Delia Lawson McCullah
Reg. Number: 1; Reg. District:
71
Certificate Number: 28505
Name: Delia Lawson McCullah
Residence: Campbell County, Tennessee
Sex: Female
Race: White
Date of Birth: 14 Apr 1856
Place of Birth: Campbell County, Tennessee
Date of Death: 08 Dec 1939
Place of Death: Campbell County
Age: 83 years, 7 months, 24 days
Marital Status: Widowed
Spouse, if living: (left blank)
Age of Spouse, if living:
If Veteran, Name of War: (left blank)
Social Security Number: (left blank
Occupation: Housewife
Industry or Business: Own home
Father's Full Name: Andrew Lawson
Father's Birthplace: Whitley County,
Tennessee
Mother's Full Maiden Name: Elizabeth
Rose
Mother's Birthplace: Whitley County,
Tennessee
Cause of Death: Accidentally burned.
- 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: W.A. McCullah
Informant Address: Habersham, R #1
Burial, Removal, or Cremation: Melvin
Cemetary on Stinking Creek
Date: 09 Dec 1939
Undertaker: Minton Sharp Funeral Parlors
Address: LaFollette, Tennesse
By: T.S.R
Date Filed: 26 Jan 1940
Registrar: (Can't read accurately)
Signature: (Can't read accurately)
Address: Jellico, Tennessee
Submitter's Name: Kelsey Rice
Submitter's Email: mustardmama@excite.com
Relationship to the Deceased: Third
great-granddaughter
Comments: The lady who mailed me
this death certificate noted that the birthplaces for Andrew
Lawson and Elizabeth Rose should be Whitley Co., Kentucky rather
than Tennessee. My records also say that Delia was the widow
of James Franklin McCullah, but that is not listed on the death
certificate. The full cause of death listed on the certificate
for Delia McCullah was: Accidentally burned. Clothes caught
fire in front of grate. Under industry or business, the certificate
listed "Own home." The certificate lists Delia McCullah as being
buried in the Melvin Cemetary on Stinking Creek.
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