Loudon County Genealogy & History Website Loudon County Death Certificates
 

 

 

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

Sarah Ellen Scott
Reg. Number:  17331; Reg. District: 1
Certificate Number:

Name: Sarah Ellen Scott
Residence: Loudon county
Sex: Female
Race: White
Date of Birth: 1861
Place of Birth: Roane county
Date of Death: 29 Aug 1944
Place of Death: Loudon county
Age: 87
Marital Status: Single
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number: none
Occupation: none
Industry or Business: (left blank)
Father's Full Name: John Scott
Father's Birthplace: unknown
Mother's Full Maiden Name: Betty Sweatt
Mother's Birthplace: unknown
Cause of Death: broncho-pneumonia and myocarditis
  • 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:
Informant Address:
Burial, Removal, or Cremation: Burial
Date:
Undertaker:
Address:
By:
Date Filed: 19
Registrar:
Signature:
Address:

Submitter's Name: Anna Anderson
Submitter's Email: anna@nashville.net
Relationship to the Deceased: great grand-daughter in law

Comments:




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