Death Certificate of
Emma Young Lloyd

(Sent to Adam D. McCartney by Karla Butler Everett,

re-typed and submitted by

)

 

STATE OF TENNESSEE

STATE BOARD OF HEALTH

Bureau of Vital Statistics

CERTIFICATE OF DEATH
 

  1. Place of Death – Gibson County, 17th Civil District, Bradford

Registration Dist. No. – 279, Primary Registration Dist. No. – 42717

  1. Full Name – Emmer Young Lloyd

PERSONAL AND STATISTICAL PARTICULARS

  1. Sex – Female
  2. Color or Race – White
  3. [Marital Status] – Married
  4. Date of Birth – Apr. 12, 1890
  5. Age – 35 yrs., ?????
  6. Occupation – House Wife
  7. Birthplace – Tenn.
  8. Name of Father – Henry Young
  9. Birthplace of Father – Tenn.
  10. Maiden Name of Mother – Lizzie Johns
  11. Birthplace of Mother – Tenn.
  12. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE – W. V. Bruff, Informant, Bradford, Tenn.
  13. Filed 7/12, 1936 by M. C. Boone, Registrar

 

MEDICAL CERTIFICATE OF DEATH

  1. Date of Death, 7/11/1936
  2. I HEREBY CERTIFY, That I attended deceased from July 10, 1936 to July 11, 1936, that I last saw her alive on July 11, 1936, and the death occurred, on the date stated above, at 3 a.m.  The CAUSE OF DEATH was as follows:  Hemorrhage.  Contributory – Plasentia privia.  Signed, A.J. Bryant, M. D.
  3. Length of Residence – (left blank)
  4. Place of Burial or Removal – Patterson Cemetery.  Date of Burial – 7/12/1936
  5. Undertaker – Meadows & Overton, Bradford, Tenn.