Campbell Death Certificate CERTIFICATE OF DEATH STATE OF TENNESSEE DEPARTMENT OF PUBLIC HEALTH DIVISION OF VITAL STATISTICS   Arthur Luther Orick Reg. Number:  55; Reg. District: 72 Certificate Number: 13720 Name: Arthur Luther Orick Residence: Civil Dist. 1 LaFollette,TN Sex: Male Race: white Date of Birth: 10 Apr 1894 Place of Birth: Winfeild,TN. Date of Death: 14 Jun 1943 Place of Death: LaFollette,TN. Age: 49 Marital Status: Married Spouse, if living: Mrs. Bonnie Orick Age of Spouse, if living: 31 If Veteran, Name of War: check mark Social Security Number: left blank Occupation: farming Industry or Business: (left blank) Father's Full Name: Russell Orick Father's Birthplace: Campbell Co. TN. Mother's Full Maiden Name: Liza Bailey Mother's Birthplace: Union Co. TN. Cause of Death: Pyelitis and Asthma Due to: Enlarged Heart 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: Mr. Charley B. Orick Informant Address: LaFollette ,R#2 Burial, Removal, or Cremation: Burial Date: 16 Jun 1943 Undertaker: Minton Sharp Address: LaFollette By: left blank Date Filed: 03 Jul 1943 Registrar: Alice C. Murray Signature: P.T. Howard M.D. Address: LaFollette,Tenn. Submitter's Name: Sherman Orick Jr. Submitter's Email: knxorick@aol.com Relationship to the Deceased: Great Nephew Comments:

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