Death Certificate
of
William Jasper McCartney
Submitted by
1. Place of Death - Gibson County, Civil District 14, Bradford
2. Full Name - W. J. McCartney
3. Sex - Male
4. Color or Race - White
5. Single, married, widowed, divorced - Married
6. Date of Birth - Nov. 1, 1856
7. Age - 69 yrs., 7 mos., 14 ds.
8. Occupation - Farmer
9. Birthplace - Tenn.
10. Name of Father - Mack McCartney
11. Birthplace - Tenn.
12. Name of Mother - Nancy Ervin
13. Birthplace - Tenn.
14. Informant - (left blank)
15. Filed 12/15/1925 by M. C. Boone, Registrar
16. Date of Death - Dec. 15, 1925
17. I HEREBY CERTIFY that I attended deceased from Nov. 15(?), 1925, to Dec. 14,
1925, that I last saw him alive on Dec. 14, 1925, and that death occurred on the
date stated above at 4:30 p.m. (?) the CAUSE OF DEATH was as followed - L__?__ &
abcess of right lung. Signed, T. W. Jones, M. D., Dec. 15, 1925, Bradford 10
18. Length of Residence (left blank)
19. Place of Burial or Removal (left blank, but known to be Pratt Cemetery) Date of burial - 12/16/1925
20. Undertaker - Meadows & Overton - Bradford, Tenn.