Campbell County Death Certificates

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

 
Edgar Lee Pierce
Reg. Number:  20701; Reg. District: 1
Certificate Number: 25882

Name: Edgar Lee Pierce
Residence: LaFollette, Campbell County, TN
Sex: Male
Race: white
Date of Birth: 30 Oct 1926
Place of Birth: LaFollette, TN
Date of Death: 28 Nov 1926
Place of Death: Campbell County, TN
Age: 29 days
Marital Status: Single
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation:
Industry or Business: (left blank)
Father's Full Name: Okle Pierce
Father's Birthplace: Tennessee
Mother's Full Maiden Name: Myrtle Lena Settles
Mother's Birthplace: Tennessee
Cause of Death: Premature birth
  • 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: Okle Pierce
Informant Address: LaFollette, Tennessee
Burial, Removal, or Cremation: Burial
Date: 28 Nov 1926
Undertaker: C. W. Mars
Address: LaFollette, Tennessee
By:
Date Filed: 28 Nov 1926
Registrar: U.S. Carden
Signature:
Address:

Submitter's Name: S. W. Settles
Submitter's Email: antdarn@aol.com
Relationship to the Deceased: Cousin by marriage

Comments: Child is buried in the Old Woodlawn Cemetery Secion in an unmarked grave.

 

 


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