Death certificate, John Shaw, 1926:
Certificate No: 2361
Name of deceased: John Shaw
Date of death: Feb. 28, 1926
Place of death: 6th Civil District, Anderson County, TN
Date of birth: Nov. 28, 1847
Place of birth: N. C.
White male; age 78 years, 3 months, 0 days; [no occupation listed]; widowed
Cause of death: Burns (3rd degree); fell into open grate; by J. S. Hall, M. D., Clinton, TN
Father: Jasper Shaw, born in NC
Mother: [First name blank] Dills, born in NC
Informant: F. L. Shaw, Clinton, TN
Date of burial: March 1, 1926
Place of burial: Martell
Undertaker: P. F. Holley, Clinton, TN
[Abstracted by Stephanie A. Hill from photocopy of original online at TSLA through HeritageQuest.]