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CERTIFICATE OF DEATH STATE OF TENNESSEE Bobby Joe Presley Registered Number: 74 Registration District Number: 231 1. Full name: Bobby Joe Presley 2. Date of Death: Mar 13, 1942 3 Place of Death a) County: Dyer Civil District: 4th b) City or Town: Dyersburg, Tenn R1 D#1 c) Name of Hospital: d) Length of stay in Hospital: In community: 4. Legal residence a) State: Tenn b) County: Dyer Civil District: 4th c) City or town: Dyersburg , Tenn R1 D#1 5. Race or Color: W 6. Sex: M 7. Single, Married, Widowed, Divorced: Single 8. Age: 4 years months 4 days 9. Date of birth: Month: Dec Day: 9 Year: 1937 10. Place of birth: Newbern R1D#2 State: Tenn 11. Spouse of: 12. If veteran name of war: Social Security Number: 13. Usual occupation: Farmer 14. Industry or business: 15. Father: Full Name: Rufus Presley Birthplace: Finley, Tenn 16. Mother: Full Name: Nettie Bivens Birthplace: Dyersburg R1 D#4 Tenn 17. Informant: M.E. Presley Address: Dyersburg, Tenn R1 D#3 18. Burial, Removal or Cremation: Burial Date: Mar 14, 1942 Cemetery: Fairview Place: Dyersburg, Tenn 19: Undertaker: Holmes & Son Address: Newbern Tenn By: E Tarrant Medical Certification 20. I hereby Certify, that I attended the deceased from March 13, 1942 to March 13, 1942 and that i last saw him alive on March 13, 1942 and that death occurred on the date stated at ___M. Immediate Cause of death: Bronchial Pneumonia Signature: J. A. Ledbetter (signed) Address: Dyersburg Date signed: Apr 2 Date Filed: Mar 14, 1942 Mrs. G.W. Chambers Registrar |