Death Certificate For John Abernathy Jolly

Death Certificate For John Abernathy Jolly
Submitted by: Alice Ross Lutfallah

STATE OF TENNESSEE DEPT. OF PUBLIC HEALTH DIVISION OF VITAL STATISTICS CERTIFICATE OF DEATH

NAME: JOHN ABERNATHY JOLLY DATE OF DEATH: FEB 13,1962

COLOR:WHITE SEX: MALE MARRIED DATE OF BIRTH:11/22/77 AGE:84

PLACE OF DEATH COUNTY:ROANE CITY:ROCKWOOD CHAMBERLAIN MEMORIAL HOSPITAL

USUAL RESIDENCE STATE: TENNESSEE, 5TH CIVIL DISTRICT COUNTY:ROANE STREET ADDRESS 507 N. ROCKWOOD AVE. USUAL OCCUPATION: BLACKSMITH KIND OF BUSINESS OR INDUSTRY: BLAST FURNACE BIRTHPLACE: HAMILTON COUNTY, TENNESSEE CITIZEN OF WHAT COUNTRY? UNITED STATES NAME OF HUSBAND OR WIFE :HATTIE BELLE JOLLY FATHER'S NAME :THICE JOLLY MOTHER'S MAIDEN NAME :NANCY JANE GREEN

ATENDING PHYSICIAN :ROBERT HICKS

BURIAL ODDFELLOWS CEMETERY, ROCKWOOD. DATE OF BURIAL 3/10/62

FUNERAL HOME: BOOTHE FUNERAL HOME, ROCKWOOD, TENNESEE