Death Certificate of Rebecca Mullins

Death Certificate

of

Rebecca Mullins

STATE OF TENNESSEE

STATE BOARD OF HEALTH

CERTIFICATE OF DEATH

(File No. 2946, Reg. No. 12)

1.   County: Gibson;  Civil District: 13; City:  Humboldt

2.   Full Name: Ellen Rebecca Mullins

3.   Sex: Female

4.   Race: White

5.   Marital Status: Widowed

6.   Date of Birth: Jan. 7, 1847

7.   Age: 80 years, 1 month, 3 days

8.   Occupation: House Keeping

9.   Birthplace: Madison County, TN

10.Name of Father:  James H. Nelson

11.Birthplace of Father:  Madison Co., Tenn

12.Name of Mother:  Miss Sidies(?) Johnson

13.Birthplace of Mother:  Madison Co., Tenn

14.Informant:  B. L. Mullins, Humboldt, Tenn

15.Filed Mar. 11, 1930 by B.S. Penn, Registrar

16.Date of Death:  Feb. 10, 1930

17.I HEREBY CERTIFY, That I attend deceased from Jan. 1929 to Feby. 10, 1930, that I last saw her alive on Feby. 10, 1930, and that the death occurred, on the date stated above, about 5:40 a.m.(?). The CAUSE OF DEATH was as follows: Nephritis.  Duration: 2 years.  Contributory causes:  Not known. Signed, J. W. O__?__, Humboldt, Tenn. Filed 3-6-1930

18.(This section, Length of Residence, left blank.)

19.Place of burial:  Antioch Cemetery on 2-11-1930

20.Undertaker:  E. E. Bodkin & Son, Humboldt, Tenn.