Nancy Knott

Certificate of Death

Nancy Knott

CERTIFICATE OF DEATH

Dept. of Public Health - State of Tennessee - Div. of Vital Statistics

Cooperating with Dept. of Commerce - Bureau of the Census

1. Full Name - Mrs. Nancy Knott

2. Date of Death - June 2, 1940

3. Place of Death:

a. County - Gibson; Civil District - 17

b. City or Town - Rural

4. Legal Residence

a. State - Tenn.

b. County - Gibson; Civil District - 17

c. City or Town - Rural

5. Race or Color - W

6. Sex - F

7. Single, Married, Widowed, Divorced - Widow

8. Age - 82 years, 5 months, 21 days

9. Date of Birth - Dec. 11, 1857

10. Place of Birth - State - Tenn.

11. Husband or wife of - Bill Knott

12. (Blank)

13. Usual occupation - Housewife

14. (Blank)

15. Father Full Name - George W. Akin; Birthplace - Tenn.

16. Mother Maiden Name - Melvina Mullins; Birthplace - Tenn.

17. Informant - Mrs. Jim Page; Address - Bradford, Tenn.

18. Burial Removal or Cremation - burial; Date - 6-3-1940; Cemetery - Shilo; Place - Near Bradford

19. Undertaker - Hunt Bros.; Address - Bradford, Tenn.; By - H. L. Walker

DATE FILED - June 3, 1940 by Mrs. W. T. Rutledge, Registrar

Medical Certification

20. I hereby certify that I attended the deceased from May 30, 1940 to June 2, 1940 and that

I last saw her alive on June 2, 1940 and that death occurred on the date stated at 4:30 p.m.

Immediate Cause of Death: apoplexy

Due to: Artero-Scleroses

(Remainder left blank)

Signature: T. W.(?) Jones; Address - Bradford, Tenn.; Signed 6-2-40