Jno Orr Death Certificate

STATE OF TENNESSEE

State Board of Health     Bureau of Vital Statistics

CERTIFICATE OF DEATH

{Marshall County Certificate # 96}

 

Full Name:                       Jno Orr                     Date of death:  Apr 28, 1914

Sex:                                   Male

Color or Race:                 White

Maritial Status:               Widowed

 

Date of birth:                    Oct 17, 1826

Age at date of death:        87 years, 5 months, 18 days

Occupation:                      Farmer      000

Birthplace:                        Cleveland Co., N. C.

 

Father's name:                   R. A. Orr        Father's birthplace:  Cleveland Co., N. C.

Maiden name of Mother:  Susan Orr     Mother's birthplace:  Cleveland Co., N. C.

Informant:                         Mrs. Francis Turner         Lewisburg, Tenn

________________________________________________________________________

MEDICAL CERTIFICATE OF DEATH

I HEREBY CERTIFY, That I attended deceased from March 28, 1914 to April 28, 1914, that I last saw him alive on April 28, 1914 and that death occurred, on the date stated above at [//?//].

The CAUSE OF DEATH * was as follows:

                                                                         OLD AGE  # 164

Signed:  [//?illegible//?], M. D.,   Lewisburg

________________________________________________________________________Place of burial:       Belfast Cemetery          Date of burial:  Apr 29, 1914

Undertaker:            J Lush Fowler               Lewisburg, Tenn.

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Submitted and Transcribed by Dick Wood, November 2004