STATE OF TENNESSEE, STATE BOARD OF HEALTH, BUREAU OF VITAL STATISTICS

COUNTY: ROANE

CIVIL DISTRICT 5 TH   REGISTRATION DISTRICT NO. 744

FILE NO. 46  PRIMARY REGISTRATION DISTRICT 27405

CITY: ROCKWOOD

FULL NAME : JOHN FAULKNER

SEX: MALE    RACE: WHITE     WIDOWER

DATE OF BIRTH: NOT GIVEN

AGE 72 OCCUPATION RETIRED BIRTHPLACE TENN

NAME OF FATHER : NOT KNOWN   NAME OF MOTHER : NOT KNOWN.

THE ABOVE IS TRUE TO MY KNOWLEDGE

SIGNED, MRS. JOHN JOLLY, ROCKWOOD

DATE OF DEATH MAY 7, 1928

I HEARBY CERTIFY THAT I ATTENDED DECEASED FROM APRIL 25, 1928 TO MAY  7, 1928, AND THAT DEATH OCCURRED ON THE DATE STATED ABOVE, AT 3:30 AM

THE CAUSE OF DEATH WAS AS FOLLOWS: CARCINOMA OF THE LIVER

SIGNED G.E. WILSON MAY 7, 1928 ROCKWOOD

PLACE OF BURIAL  ODDFELLOWS MAY 9, 1928

UNDERTAKER : LAMB & COULTER

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

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