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Genealogy Pages for Northern Middle TN
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Death Certificate for John BLACK

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Following is a transcription of the above person's (TN) death certificate:

Reg. No. 26412  Reg. Dist. No. 641
Full Name: John BLACK
Date of Death: 6/13/1947
Place of Death: County: Montgomery,      Civil Dist. 12,       City or Town: Clarksville     
     Name of Hospital: (blank)     Length of Stay in Hospital: (blank)             
     In Community: (blank)
Usual  Residence: State: Tennessee      County: Henry     Civil Dist.: (blank)
     City or Town: Rural       Street No.: R#1      Citizen of Foreign Country? No
Race: W         Sex: M           Marital Status: Married
Age: 49 yrs. 5 mos. 24 ds.
Date of Birth: 12/19/1897
Place of Birth: City or County: Montgomery      State or Country: Tenn.
Husband or Wife of: Allie BITER       
Age of Husband or Wife, if Living: 50 years
If Veteran Name of War: (blank)                 Social Security Number: (blank)
Usual Occupation: Locomotive Engineer              Industry or Business: R. R. Eno Tenn.
Name of Father: Dan BLACK
Birthplace of Father: city or county: Montgomery     state or country: Tenn.
Maiden Name of Mother: Martha BAGGETT
Birthplace of Mother: city or county: Montgomery          state or country: Tenn.
Informant: Margaret Ann BLACK        Address: RFD #1 Paris, Tenn.
Burial, Removal, or Cremation: Burial              Date: 6/15/1947
Cemetery: Maplewood               Place: Paris, Tenn.
Undertaker: Spicer & McEvoy         Address: Paris, Tenn.       by: PLS
Date Filed: 6/24/1947                Frances Hyams, Deputy
Death occurred at: (blank)
Immediate Cause of Death: (blank)
Accident, Suicide, or Homicide: accident            Date of Occurrence: 6/13/1947
Where did Inury Occur:  City: Clarksville     County: Mntg     State: Tenn.
In Public Place?: Public Place     While at Work: yes        Means of Injury: R. R. Wreck
Signed by: J. W. Burney, Corroner      Address: Clarksville, Tenn.     Date: 6/19/1947
Certified Copy Issued: 7/11/1947    Number: 32332-33-30
     (to:) Mrs. Jno. BLACK, Paris, Tenn.
Additional Information by Physician: John BLACK was Engineer on L. & N.  R. R.
     Engine.  They were turning the draw bridge testing it out and his engine went
     into the Cumberland River.  He was either killed in the wreck or drowned.

This page was created in 2001 and was last updated on 01/01/2004.
2004 Stan Magnesen