Rootwalker
Genealogy Pages for Northern Middle TN
Death Certificate for Cave Johnson ADAMS
| Following is a transcription of the above
person's (TN) death certificate: Reg. No.: 18, Reg. Dist. No.: 44303 Full Name: Cave Johnson ADAMS Date of Death: 05-25-1940 Place of Death: County: Humphreys, Civil Dist.: 3rd, City or Town: Rural Length of Stay in Community: Life Legal Residence: State: Tenn., County: Humphreys, Civil Dist.: 3rd, City or Town: Dickson R3 Race: W Sex: M Marital Status: Widowed Age: 88 yrs 2 mos. 25 ds. Date of Birth: 03-01-1852 Place of Birth: County: Dickson, State: Tenn. Husband of: Joan STREET If Veteran Name of War: (blank) Social Security No.: (blank) Usual Occupation: Farmer Name of Father: Ben ADAMS Birthplace of Father: Unknown Maiden Name of Mother: Nancy REYNOLDS Birthplace of Mother: Unknown Informant: H. J. ADAMS Address: Dickson, Tenn. R3 Burial, Cremation, or Removal: Burial Date of Burial: 05-26-1940 Cemetery: Edgewood Place: Dickson Undertaker: Fowlkes Und. Co. Address: Waverly, Tenn. Date filed: 06-14-1940 by Mrs. Gladys Williams, Registrar The physician attended him from 04-29-1940 to (blank) and last saw him alive on 04-29-1940 Death occurred on date above at: 12:30 pm Cause of Death: Chronic myocarditis not rheumatic Other Conditions: Chronic nephritis Signature: W. A. Bell, M. D. Address: Vanleer Date: 06-01-1940 |