STATE OF TENNESSEE, STATE BOARD OF HEALTH, BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH 296

 

Registration District No. 744

Primary Registration District No. 47405

1. Place of Death

County Roane

Civil District 5

City Rockwood

2. Full Name John W Green

3. Sex Male

4. Color or Race White

5. Married

6. Date of Birth Sept 26, 1899

7.Age 25 yrs,9 mo,27da.

8.Occupation Miner

9.BirthplaceRhea County, Tennessee

10. Name of Father Thomas J Green

11. Birthplace of Father Jefferson County, Tennessee

12. Maiden Name of Mother Sarah A Minnick

13. Birthplace of Mother Rhea County, Tennessee

14.The above is true to the best of my knowledge (signed) Sarah A. Green

Address Rockwood Tennessee

15. July 31, 1925, AT Grant

16. Date of Death July 28, 1925

17. Cause of Death Killed by explosion of gas in coal mine

Signed No physician in mine

18. Length of residence Left Blank

19. Place of Burial Body has not been removed yet

Jamey McLoughlin - jameym@roanetnheritage.com
TNGenWeb Project - Roane County

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