Name: Daniel Boone McCurry
Residence: TN
Sex: Male
Race: White
Date of Birth: 21 Apr 1874
Place of Birth:
Date of Death: 17 Feb 1937
Place of Death: Tn.
Age:
Marital Status: Married
Spouse, if living: Thursa Lelia (Bowman) McCurry
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation:
Industry or Business: (left blank)
Father's Full Name: Andrew Jackson McCurry
Father's Birthplace: Greene Co., TN.
Mother's Full Maiden Name: Mary Margaret Adams
Mother's Birthplace:
Cause of Death:

• 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: Accident
• Date of Occurrence: 17 Feb 1937
• Where did the injury occur: TN.
• Did injury occur in or about home, on farm, in industrial place, in public place?: Public Place
• While at work: (left blank)
• Means of Injury: (left blank)

Informant:
Informant Address:
Burial, Removal, or Cremation:
Date: 19
Undertaker:
Address:
By:
Date Filed: 19
Registrar:
Signature:
Address:

Submitter's Name: Wanda LaVigne
Submitter's Email: lavignew2@yahoo.com
Relationship to the Deceased: granddaughter

Comments: