Certificate of Death

Nancy Knott
submitted by

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