Death Certificate — Cummings Mollie

Death Certificate of

Mollie Cummings

Courtesy of Mary Ann Gray Arnold

(Retyped and Submitted by Adam D. McCartney)

1. Full Name: Mrs. Mollie Cummings

2. Date of Death: Sept. 13, 1946

3. Place of Death:

a. County: Gibson; Civil District: 14

b. City or Town: Bradford

c. Name of Hospital: __________

d. Length of Stay: In Community - Life

4. Usual Residence:

a. State: Tennessee

b. County: Gibson; Civil District: 14

c. City or Town: Bradford

d. Street No.: __________

e. Citizen of Foreign Country: No

5. Race or Color: W

6. Sex: F

7. [Marital Status:] Widowed

8. Age: 69 years, 11 months, 7 days

9. Date of Birth: Oct. 6, 1876

10. Place of Birth: Tenn.

11. (left blank)

12. (left blank)

13. Usual occupation: Housework

14. (left blank)

15. Father Full Name: Allen McCollum; Birthplace: Tenn.

16. Mother Maiden Name: Vandalia Crews; Birthplace: Tenn.

17. Informant: Zabron* McCartney [*Note: Should be Zavern]; Address: Bradford, Tenn.

18. Burial, Removal, or Cremation: burial; Date: Sept. 14, 1946; Cemetery: Bradford; Place: Bradford

19. Undertaker: Hunt Bros., Bradford by H. L. Walker

Date filed: 10-7-1946 by Nell Harper, Deputy Registrar

20. Medical Certification

I hereby certify that I attended the deceased from Sept. 10, 1946 to Sept. 13, 1946 and that I last saw her alive on Sept. 13, 1946 and that death occurred on the date stated at 12:30 _.m. Immediate cause of death: Cerebral Hemorrhage; Duration: 3 days.

21. (left blank)

22. Signature: R_?__ Brandon _?_, M. D.; Greenfield, Tenn. Date signed: 10-2-1946