Cheatham County Death Certificate 

 

 

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

Georgie Ann Bradley
Reg. Number:  108; Reg. District: 41102
Certificate Number: 13455

Name: Georgie Ann Bradley
Residence:
Sex: Female
Race: White
Date of Birth: 24 May 1870
Place of Birth: Tennessee
Date of Death: 10 Jul 1933
Place of Death: Civil District 2
Age: 63
Marital Status: Married
Spouse, if living:
Age of Spouse, if living:
If Veteran, Name of War:
Social Security Number:
Occupation: Housekeeping
Industry or Business: (left blank)
Father's Full Name: Thomas Shores
Father's Birthplace: Tennessee
Mother's Full Maiden Name: Elizabeth Pardue
Mother's Birthplace: Tennessee
Cause of Death: General Dropsy following a leaking heart
If death was due to external causes, fill in the following:
Informant: Mrs. Lee Teasley
Informant Address: Cedar Hill, Tennessee
Burial, Removal, or Cremation: Burial-Pleasantview, Tennessee
Date: 11 Jul 1933
Undertaker: J. F. Bidwell
Address: Pleasantview, Tennessee
By:
Date Filed: 09 Aug 1933
Registrar: N. V. Williams
Signature: W. S. Luekert ?, M.D.
Address: Ashland City, Tennessee
Submitter's Name: Melissa Barker
Submitter's Email: kaitysmom@peoplestel.net
Relationship to the Deceased: None


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