Ellis E. Culver

Surname:
Culver
Type:
Obituary
Location:
Gibson County, TN

Certificate of Death

Ellis E. Culver

1. Full name: Ellis E. Culver

2. Date of Death May 2, 1944

3. Place of death: Gibson County, 14th Civil District, Rural

4.  Legal Residence: State - Tennessee; County - Gibson; Civil District - 14; City

or Town - Bradford; Street Number - Rural; Citizen of a Foreign Country - No.

5. Race or color: W

6. Sex: M

7. Singled, Married, Widowed, Divorced: Married

8. Age: 49 years, 4 months, 12 days

9. Date of Birth: Dec. 20, 1894

10. Place of Birth: Tenn.

11. Husband of: Rosa Culver

12. (left blank)

13. Usual Occupation: Farmer

14. (left blank)

15. Father Full Name: Ed Culver; Birthplace: Tenn.

16. Mother Maiden Name: Canzada Blankenship; Birthplace: Tenn.

17. Informant: (left blank); Address: Bradford, Tenn.

18.  Burial,  removal,  or  cremation: Burial; Date: May 3, 1944; Cemetery: Belews

Chapel; Place: Bradford

19. Undertaker: Hunt Bros; Address: Bradford; By H. L. Walker

Date filed - 3-9-1945 by Annie B. Scruggs, Deputy Registrar

20.  I  hereby certify that I attended the deceased from April 15, 1944, to May 2,

1944,  and that I last saw him alive on May 2, 1944 and that death occurred on the

date stated at 10:30 p.m. Immediate cause of death: Malignant tumor of brain

21. (left blank)

Signature: James O. Barker, M.D.

Address: Trenton, Tenn. Date Signed: 3-8-45