Death Certificate Index

Death Certificate For Hattie Bell Jolly
Submitted by: Alice Ross Lutfallah

TENNESSEE DEPARTMENT OF PUBLIC HEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH
NAME: HATTIE BELL (SIC) JOLLY
DATE OF DEATH:8/30/67 COLOR: WHITE SEX: FEMALE AGE: 81
PLACE OF DEATH COUNTY: ROANE CITY OR TOWN: ROCKWOOD,TENNESSEE
CIVIL DISTRICT :5TH USUAL RESIDENCE: COUNTY:ROANE CITY: ROCKWOOD, 5TH CIVIL DISTRICT STREET ADDRESS: 900 N. CHAMBERLAIN AVE.
USUAL OCCUPATION: HOUSEWIFE BIRTHPLACE: TENNESEE CITIZEN OF WHAT COUNTRY?
UNITED STATES NAME OF HUSBAND OR WIFE: JOHN JOLLY
SIGNED BY DR. JOHN T. CHESNEY
BURIAL 9/2/67 ODDFELLOWS CEMETERY, ROCKWOOD, TENNESSEE
FUNERAL DIRECTOR: BOOTH FUNERAL HOME