James Alva Endsley Death Certificate STATE OF TENNESSEE STATE BOARD OF HEALTH BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH [Marshall County 1917 Certificate # 531] Place of Death: Verona, 16th Civil Dist., Marshall County, Tenn. Full Name: James Alva Endsley Sex: Male Color or race: White Marital Status: Married Date of birth: 11 March 1868 Age at time of death: 49 years, 2 months, 29 days Occupation: Farmer Birth place: Marshall Co. Name of father: James Burgess Endsley. Father's birth place: Marshall Co. Maiden name of mother: Mary Ann Belle. Mother's birth place: Marshall Co. Informant: Mrs. James A. Endsley, Rich Creek Date of Death: 9 June 1917 ________________________________________________________________________ MEDICAL CERTIFICATE OF DEATH Instant Death by Lightning #95 No Physician in attendance ________________________________________________________________________ Burial Place: Berea Cemetery Date of Burial: 10 June 1917 Undertaker: J. L. Fowler Address: Lewisburg
James Alva Endsley Death Certificate STATE OF TENNESSEE STATE BOARD OF HEALTH BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH [Marshall County 1917 Certificate # 531] Place of Death: Verona, 16th Civil Dist., Marshall County, Tenn. Full Name: James Alva Endsley Sex: Male Color or race: White Marital Status: Married Date of birth: 11 March 1868 Age at time of death: 49 years, 2 months, 29 days Occupation: Farmer Birth place: Marshall Co. Name of father: James Burgess Endsley. Father's birth place: Marshall Co. Maiden name of mother: Mary Ann Belle. Mother's birth place: Marshall Co. Informant: Mrs. James A. Endsley, Rich Creek Date of Death: 9 June 1917 ________________________________________________________________________ MEDICAL CERTIFICATE OF DEATH Instant Death by Lightning #95 No Physician in attendance ________________________________________________________________________ Burial Place: Berea Cemetery Date of Burial: 10 June 1917 Undertaker: J. L. Fowler Address: Lewisburg
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