STATE OPF TENNESSEE State Board of Health Bureau of Vital Statistics Certificate of Death #6022 Registration District No 482 Primary Registration Districe No. 24801 Reg. No. 408 1. Place of Death County Knox Village Smorll? City Knoxville Vistal Ave Ward 25 2.
Full Name Daniel Randolph 3. Sex Male 4. Color or Race White 5. Married Date of Birth Dec 5 (No Year given) 7. Age 27 years 2 months 2 days 8.a. Occupation Labor b. General nature of Business Vertal Lumber Co 9. Birthplace Tenn
PARENTS 10. Name of Father W C Randolph 11. Birthplace Tenn 12. Maiden Name of Mother Jennie Rice 13. Birthplace Tenn 14.
The above is true to the best of my Knowledge Informant Claude Scarbrough Address Knoxville, TN 16. Date of Death March 1 1930 17.
I hereby certify that I attended deceased from to Feb 23, 1930 and that death occured on the date stated above at 1:45 am
The cause of death was as follows Pulmary T B Signed Fred West MD March 1, 1930 Address Knoxville Place of Burial Smith Chapel Date of Burial 3/2 1930.
Claude Scarbrough, son of Elvina 'Vina' Randolph (Daniel's oldest sister) and Jesse Bower Scarbrough.
Daniel was Married to Emma Scott (1896-1954) on October 4, 1919. After his death, Emma Married Ben Lawrence Ogle of Knoxville.
After her death Lawrence was married to Jim Henry Rodgers-Randolph widow of Norman Randolph (Dan's younger Brother who also died from T.B.)
Full Name Daniel Randolph 3. Sex Male 4. Color or Race White 5. Married Date of Birth Dec 5 (No Year given) 7. Age 27 years 2 months 2 days 8.a. Occupation Labor b. General nature of Business Vertal Lumber Co 9. Birthplace Tenn
PARENTS 10. Name of Father W C Randolph 11. Birthplace Tenn 12. Maiden Name of Mother Jennie Rice 13. Birthplace Tenn 14.
The above is true to the best of my Knowledge Informant Claude Scarbrough Address Knoxville, TN 16. Date of Death March 1 1930 17.
I hereby certify that I attended deceased from to Feb 23, 1930 and that death occured on the date stated above at 1:45 am
The cause of death was as follows Pulmary T B Signed Fred West MD March 1, 1930 Address Knoxville Place of Burial Smith Chapel Date of Burial 3/2 1930.
Claude Scarbrough, son of Elvina 'Vina' Randolph (Daniel's oldest sister) and Jesse Bower Scarbrough.
Daniel was Married to Emma Scott (1896-1954) on October 4, 1919. After his death, Emma Married Ben Lawrence Ogle of Knoxville.
After her death Lawrence was married to Jim Henry Rodgers-Randolph widow of Norman Randolph (Dan's younger Brother who also died from T.B.)
STATE OPF TENNESSEE State Board of Health Bureau of Vital Statistics Certificate of Death #6022 Registration District No 482 Primary Registration Districe No. 24801 Reg. No. 408 1. Place of Death County Knox Village Smorll? City Knoxville Vistal Ave Ward 25 2.
Full Name Daniel Randolph 3. Sex Male 4. Color or Race White 5. Married Date of Birth Dec 5 (No Year given) 7. Age 27 years 2 months 2 days 8.a. Occupation Labor b. General nature of Business Vertal Lumber Co 9. Birthplace Tenn
PARENTS 10. Name of Father W C Randolph 11. Birthplace Tenn 12. Maiden Name of Mother Jennie Rice 13. Birthplace Tenn 14.
The above is true to the best of my Knowledge Informant Claude Scarbrough Address Knoxville, TN 16. Date of Death March 1 1930 17.
I hereby certify that I attended deceased from to Feb 23, 1930 and that death occured on the date stated above at 1:45 am
The cause of death was as follows Pulmary T B Signed Fred West MD March 1, 1930 Address Knoxville Place of Burial Smith Chapel Date of Burial 3/2 1930.
Claude Scarbrough, son of Elvina 'Vina' Randolph (Daniel's oldest sister) and Jesse Bower Scarbrough.
Daniel was Married to Emma Scott (1896-1954) on October 4, 1919. After his death, Emma Married Ben Lawrence Ogle of Knoxville.
After her death Lawrence was married to Jim Henry Rodgers-Randolph widow of Norman Randolph (Dan's younger Brother who also died from T.B.)
Full Name Daniel Randolph 3. Sex Male 4. Color or Race White 5. Married Date of Birth Dec 5 (No Year given) 7. Age 27 years 2 months 2 days 8.a. Occupation Labor b. General nature of Business Vertal Lumber Co 9. Birthplace Tenn
PARENTS 10. Name of Father W C Randolph 11. Birthplace Tenn 12. Maiden Name of Mother Jennie Rice 13. Birthplace Tenn 14.
The above is true to the best of my Knowledge Informant Claude Scarbrough Address Knoxville, TN 16. Date of Death March 1 1930 17.
I hereby certify that I attended deceased from to Feb 23, 1930 and that death occured on the date stated above at 1:45 am
The cause of death was as follows Pulmary T B Signed Fred West MD March 1, 1930 Address Knoxville Place of Burial Smith Chapel Date of Burial 3/2 1930.
Claude Scarbrough, son of Elvina 'Vina' Randolph (Daniel's oldest sister) and Jesse Bower Scarbrough.
Daniel was Married to Emma Scott (1896-1954) on October 4, 1919. After his death, Emma Married Ben Lawrence Ogle of Knoxville.
After her death Lawrence was married to Jim Henry Rodgers-Randolph widow of Norman Randolph (Dan's younger Brother who also died from T.B.)
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