Loading...
HomeMy WebLinkAbout0929 ~3 56 ~ ~ ' QF p~j• << urt ~L1C~ o ~ i~ r.~ o _ a - v- ` $ ~Ir. `Y ° ~:.(~~w pA~ ~LANTON S1AIf 0~ ~[NNES3EE o~ a~.~:cv ns o pEPARTMENT pF PUBI.IC HEAL r~., o STATE REGtS:StqR ' w?sNVK~c ~m~ o`sai) ~ ,~'~I' E~en~ W. FowinkM, IM.O.. M.P.H. ~o oar'r~ < JAtt . 21 ~ I9TT aawrw~e~~. O„opf+~,~111ThSS~'~ ~ s ~i I lkreb~ eartitY the below to be • brw snd correct copy of the official document a~ o~f•lflt in this Dfparhnent. Valid ONLY wrhen e~nbosied seal of the Tennesaee ` D~~srt~ent ai Pnbtic Heslth snd red fmptfnted si nat re of the State Registrar ar~ sgised. ~ • ~ SUGSNS W. FOWINKLE ~ M. D. Commissioner . - . - z~ CERTIFICATE OF DEATH 2 m~N~ osr~~on oF w~~c Ku~ni .~as no~. r. ~ / J :J ~ rt ~ 1 VITAI RECORUS t• ED - NAAtE ww rww~ twtr OAtE Of OEAM ~rwn~. M., ti~n " ~ a ~ ~ 5 ~rx~n. ~~sq, ~rwK~ ~rMw. fE7( ACt - uO ~ ~ ~ M1E Of pl1N ~rorm. M~. nw ~vtt~n~ wawa a rn~. , White Male se.58 s~, s~. ~.3/6/191? • Mrv p~ pEwiN Cm1, IOMM. O! WCAiIOM Oi OEATM ~M~M C~n l~r~n l10Sf1iAl OR OiH~ INSi1TUT10N - NAME ~ ~wcur nt o~ ~ u~ ww ~ s~w mnt wir~n, . Davidson Naehville h. Yes ~a,St. T~'iomas~osp~tal ?E Oi p!M m pt ~r ~.f_w.. pTIZEN OF MNl1i COYMiIY YAtl~EO. NE11Et YAttlEO, lUl1fMN6 S?OIlSE n~ ~q. t~n r~uMw w~~~ ' P~ cor~rtn Mi100'~YEO. pMOt~CiO twtlT ~Tennessee U, S. A. w. Married u. Mildred Mains Rankin ~oc~~ setu~mr Nur~e~ sthnce u..~.w w~c. usw? aeew~taM ~«w o.~ o..oR ~ore w.~.s ~uMO oF ws~w~u w~NOUSr~r , pN[~n ~iu o~ Mt~t a RwK~~ or ~o~t~ra u7l. t~M x~mW ~I 409-10-3823 No Securit Guard Guardemark _ IDENCE - S1A1E CWNTY C~ill, Tp~WN, Ot tOCAiWN ~~t~~e un ur~n StREft ANO NYY~Et ~F ' ~sN[?n ~ O~ r01 , . Tenneseee ~p. Davidson Nashville ~ 1606 Martin Street " *MER - NAMf MOMH - AtA/pEN NAMf IMiOlMANi NAMf YAtuMC I1DOtESf : r • ' Gu C. Rankin Frances Magill I~~. Mildred Rankin, 1606 Martin Street `;i ' r~rr oEwn~ wwt cwusEO n: +fN1ER dVlr ONE CAUSE ?ER UNE fOR (o), (6), ad (t)) ~~+~rwn ~~rtnwa - ; irr~M / . ' . 1 (e) ~ Kj~~,~l4 ~ J 1~ ' . • M!t O~A{A , ; ~"caii'~ ( s . . ~ ~ri?EDWtE CI WSt ~a1.1 w~ w. w ~t w to~YOrwn w~ : fTwT111C Tflt YNCE t triNC G111f! 1/lfi • 1 , i tl. OTNEt SIGNiFKAMT ~OMDIil~S: COM~1WMt C01~tMNR~M t0 ~4M M MW tltAt~ q CA~ iltlll M~At~ 1 ~O~ AYfO1ST If ~ES ti~! ~tMMMi{ CO~- ~?tl q AOl U~!!~ IM MNr~w~N . . O? YA?M • . • R~CfMi. SYKIOE. IIOYIGOE. 0/?TE Of NIJYfr ~rwm. M~, n~u~ NOYR NdW INJUlT OtCUReEO a~+a rwe~ a uuwr r~n ~ w au~ u, ~w~ ~ t UMDEiElYIMEO ~lN[~M ~ ~ ~0. M. ~d. . i wRr wt vYOK ~tA[E OF IN~Y!? wr wor~. rwr. a~. ~~non. ~oUf?ON ~a~u? w~.s.~, w., cm w~orr. awn~ f tinn ~e o~ w? o~nn wN.. ~e. ewc+m ' ~f. _ ~ MrsKUW - CEttIfKAT10N Alf/ Ms~ OAfE S+GNfO rrortw. a~t?. .e~n w ~ t wnMM lw~ MCM~I~ A~ ~Y11w OOC~Yr ' wt nN Mb. Or 1M~ ~?q. All~, f0 t1A ~ Or ` ~ •r tAO~lr/!. M~ 10 M G111r10 RMR • . IfDfC/LL E7(AYp1Ef ~ CEMiKAt10N i~Tl/ OAiE SIGNEC Ilw~tw. Mt, ~FAM , i a~ tM/ M{I~ p1 1M~ ~A~~~M~oO o~ DM ~r . . O~ ~I~! IM~'6hMAOA. 1~ Yt O/IINO~. MA1M I CM~N 011 1M W~ NM MI~ q OM tMllfM~ AAI~. ? ~f~H - NAINE ~ w rnrn rwuNG ~tooeEU sr~ oe vi, ro. un o~ ~ow awn ~ n. _ J. L. Herrington, M. D. ~ ~uu. tt[YAT10M. tN10~vK O/vt ~rowrw, r~r, *w~ CHiEfEIY OR CREMA~OlY - NAME tOCnT10N an oe tun ~ Burial ~+s. 10/31/75 ~.Woodlawn ~s,Thom son Lane, N ahville, Tn. l M- +snw. w~..~. +o_ an w w.w. a.n.:~n RE6KT - SI TU Ms~ N[it~ R IOtA~ s.• . ~ •Woodlawn , Th~m~son I,a. , Nashville Tenn. x~_ ' aa. Lv70"~ ~-f` f ~ I - - D~d~r7r~F"' ~OCFR Ppt~t~s tA. I ~ RE~~~Y RtF~ pT C~UR I~c ~~r3~ : .J~?; 31 ' 2. PN'77 ~ ~0~263 F~E 9Q9 ~~s44s ~