Loudon County Genealogy & History Website Loudon County Death Certificates
 

 

 

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

Lizzie Grimes
Reg. Number:  12; Reg. District: 45401
Certificate Number: 340

Name: Lizzie Grimes
Residence: 1st Civil Dist., Loudon County
Sex: Female
Race: White
Date of Birth:
Place of Birth: Tennessee
Date of Death: 17 Feb 1923
Place of Death:
Age: 33 yrs.
Marital Status: Married
Spouse, if living: Frank Grimes
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Housework
Industry or Business: (left blank)
Father's Full Name: J. C. Thomas
Father's Birthplace: Tennessee
Mother's Full Maiden Name: Allie Jackson
Mother's Birthplace: Tennessee
Cause of Death: Pulmonary Tuberculosis
  • 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: (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: Frank Grimes
Informant Address: Loudon, Tennessee
Burial, Removal, or Cremation: Robinson Cemetery
Date: 19 Feb 1923
Undertaker: F. M. Quinn
Address: Loudon, TN
By:
Date Filed: 17 Feb 1923
Registrar: F. M. Quinn
Signature:
Address:

Submitter's Name: A. Chory
Submitter's Email: chory@earthlink.net
Relationship to the Deceased: great-niece

Comments:





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