Loudon County Genealogy & History Website Loudon County Death Certificates
 

 

 

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

Ira Lee Moore
Reg. Number:  ; Reg. District:
Certificate Number: 79 004834

Name: Ira Lee Moore
Residence: Loudon, Loudon Co, TN
Sex: Male
Race: White
Date of Birth: 31 Jan 1898
Place of Birth: Tennessee
Date of Death: 19 Feb 1979
Place of Death: Loudon, Loudon Co, TN
Age: 81
Marital Status: Married
Spouse, if living: Helen Johnson Moore
Age of Spouse, if living:
If Veteran, Name of War: no
Social Security Number: 415-44-1948
Occupation: Machine Operator
Industry or Business: HIckory Products Co.
Father's Full Name: Bill Moore
Father's Birthplace: (not listed on form)
Mother's Full Maiden Name: No Data
Mother's Birthplace: (not listed on form)
Cause of Death: Electrolyte Imbalance
  • Due to: Nephropathy
  • 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:
  • 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: Helen Moore
Informant Address: Loudon, TN
Burial, Removal, or Cremation: Burial
Date: 22 Feb 1979
Undertaker: Hawkins
Address: Loudon, TN 37774
By: Donald R. Roberts
Date Filed: 22 Feb 1979
Registrar: Nancy Foshee
Signature:
Address:

Submitter's Name: Samuel Weldon
Submitter's Email: sweldon@bigfoot.com
Relationship to the Deceased: son-in-law

Comments: Burial in the Riverview Cemetery in Loudon, Loudon County, TN





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