Death Certificate of
Sarah Lowery Hilliard
Submitted by
STATE OF TENNESSEE
State Board of Health
Bureau of Vital
Statistics
CERTIFICATE OF DEATH
1.
Full Name:
Mrs. Sarah Hellard
2.
Date of Death:
May 23, 1941
3.
Place of Death:
Gibson County, Civil District 17, Rural
4.
Legal Residence:
Gibson County, Tennessee, Civil District 17
5.
Race:
White
6.
Sex:
F
7.
Single, Married,
Widowed, Divorced: Married
8.
Age:
72 years, 6 months, 21 days
9.
Date of Birth:
Nov. 2, 1868
10.
Birthplace:
Tennessee
11.
Husband or Wife of:
Henry Hellard
12.
Left blank
13.
Usual occupation:
Housewife
14.
Let blank
15.
Father Full Name: Marion
Lowery; Birthplace: Tenn.
16.
Mother Maiden Name: Leon
Bruff; Birthplace: Tenn.
17.
Informant:
Alma Lowery; Address:
Trenton, Tenn.
18.
Burial, Removal, or
Cremation: Burial;
Date: May 24, 1941;
Cemetery: Blue’s Chapel [should be
Belew’s Chapel]; Place: Near
Bradford
19.
Undertaker:
Hunt Brothers, Bradford, Tenn., by H. L. Walker
Filed May 24, 1941 by Mrs. W. T. Rutledge, Registrar
20.
I hereby certify that I
attended the deceased from 5/23/41 to 5/23/41 and that I last saw her alive on
5/23/41 and that death occurred on the date stated at 2:15 p.m.
Immediate cause of death:
Massive pulmonary hemorrhage from tuberculosis(??)
cavity(?????) left
21.
Left blank.
Signed: J. H. McAnerny, M.D.
Address: Bradford;
Date signed: 5/24/1941