Agniuldo Warren 1945
submitted by

 

CERTIFICATE OF DEATH STATE OF TENNESSEE

 

File No:  22889

Reg. No:  42719

Reg. Dist No:  271

 

FULL NAME:  Agniuldo Warren

 

DATE OF DEATH:  Nov 6, 1945

 

PLACE OF DEATH

County:  Gibson

Civil District:  19

City or Town:  Kenton, Ten Rural

Name of Hospital:  blank

 

USUAL RESIDENCE

STATE:  Tenn

COUNTY:  Gibson

CIVIL DISTRICT:  19

CITY:  Kenton R.F.D. #1

 

White, Male, Single

 

AGE:  45 years, 9 months, 2 days

 

DATE OF BIRTH:  Feb. 4, 1900

PLACE OF BIRTH:  Gibson County, Tenn.

 

HUSBAND OR WIFE:  Single

 

VETERAN:  blank

SOCIAL SECURITY NUMBER:  None

 

USUAL OCCUPATION:  Farmer

 

FATHER

FULL NAME:  Johnathan Warren

BIRTHPLACE:  Gibson County, Tenn.

 

MOTHER

MAIDEN NAME:  Emma Brickhouse

BIRTHPLACE:  Gibson County, Tenn.

 

INFORMANT:  Dee Warren

ADDRESS:  Kenton R.F.D. #1

 

BURIAL

DATE:  11-7-1945

CEMETERY:  Walnut Grove

PLACE:  Kenton R.F.D.

UNDERTAKER:  Karnes Funeral Home

ADDRESS:  Rutherford, Tenn

 

PHYSICIAN ATTENDED:  blank

 

IMMEDIATE CAUSE OF DEATH:  Throat cut.  Jugular vein severed.  Wound self-inflicted.

 

ACCIDENT, SUICIDE OR HOMICIDE:  Suicide

 

DATE OF OCCURRENCE:  Nov. 6 – 45

WHERE DID INJURY OCCUR:  R 1 Kenton, Gibson, Tenn

 

PLACE:  Farm

MEANS OF INJURY:  Razor

 

SIGNATURE:  M. D. Ingram

ADDRESS:  Trenton, Tenn  11/28/1945