|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Civil Dist.: 16, Reg. Dist.: 752
Primary Reg. Dist.: 47516, Reg. No.: 335
Full Name: John Jeff FUQUA
Sex: Male Race: White Marital Status: Single
Date of Birth: (blank)
Age: 51 yrs. 2 mos. 11 ds.
Name of Father: Levi FUQUA
Birthplace of Father: Tenn.
Maiden Name of Mother: Cathrine FUQUA
Birthplace of Mother: Tenn.
Informant: J. L. ABANATH Address: Green brier, #2
Filed: 5/22/1917 Frank Bell, Registrar
Date of Death: 5/21/1917
Death occurred on date above at 1 pm.
Cause of Death: No Doctor
Signed: Frank Bell, Registrar
Place of Burial: Mt. Sharon Date of Burial: 5/22/1917
Undertaker: Henry & Bell Address: Springfield, Tenn.