Campbell Death Certificate



James R. Nelson
Reg. Number:  ; Reg. District: 20701
Certificate Number: 51-12430

Name: James R. Nelson
Residence: Campbell Civil District 1
Sex: Male
Race: White
Date of Birth: 06 Oct 1882
Place of Birth:
Date of Death: 10 Jun 1951
Place of Death: LaFollette TN
Age: 68
Marital Status: Married
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Rural Mail Carrier
Industry or Business: (left blank)
Father's Full Name: Henderson Nelson
Father's Birthplace:
Mother's Full Maiden Name: Nancy Petree
Mother's Birthplace:
Cause of Death: Acute Myocardial failure
  • Due to: chronic myrocarditis
  • 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: Mrs. James R. Nelson
Informant Address: 507 S. Tenn. Ave LaFollette TN
Burial, Removal, or Cremation: Burial at Victory Cemetery LaFollette, TN
Date: 12 Jun 1951
Undertaker: Agee & Walters
Address: LaFollette, TN
Date Filed: 07 Jul 1951
Registrar: Mrs. Les Alexander
Signature: M.L. Davis
Address: LaFollette TN

Submitter's Name: Suzanne Pratt
Submitter's Email: swmpratt@swmpratt.com
Relationship to the Deceased: none

Comments: Source: Campbell County Death Certificate


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