Death Certificate of

Mollie Cummings

submitted by

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