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

 
Sallie Nelson
Reg. Number:  11865; Reg. District: 4112
Certificate Number: 378303

Name: Sallie Nelson
Residence: Tijay, Bell, KY
Sex: Female
Race: White
Date of Birth:
Place of Birth: Campbell county Tennessee
Date of Death: 30 May 1926
Place of Death: Tijay, Bell, KY
Age: 71
Marital Status: Widowed
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: housewife
Industry or Business: (left blank)
Father's Full Name: Akes Ford
Father's Birthplace: Tennessee
Mother's Full Maiden Name: Nancy Huff
Mother's Birthplace: Campbell, Tennessee
Cause of Death: General Debility, Asthma
  • 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 Nelson
Informant Address: Balkan, KY
Burial, Removal, or Cremation: Balkan, KY
Date: 31 May 1926
Undertaker: Family
Address:
By:
Date Filed: 02 Jun 1926
Registrar: J.R. Prater
Signature:
Address:

Submitter's Name: Suzanne M. Pratt
Submitter's Email: Suzanne Pratt
Relationship to the Deceased: great- granddaughter

Comments: Akes Ford was Stephen Akes Ford. Evidence of parentage from this death certificate and Stephen Akes Ford civil war pension. Although not listed Sallie's birthdate was 7 Dec. 1855. Also, while Sallie is listed as a widow, she was divorced in 1898 from her spouse Harrison J. (Dock) Nelson. He died in Knox, KY in 1907. Sallie continued to live in Campbell, TN until just a few years before her death when she moved to Bell, KY. She was present in the 1920 Campbell county Census.

 


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