JACKSON COUNTY, TN - VITALS - John Newton Crabtree Death Certificate
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                   <DDCrab1945@aol.com>
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STATE OF TENNESSEE 
STATE BOARD OF HEALTH 
Bureau of Vital Statistics 
CERTIFICATE OF DEATH 

1. State of Death: Tennessee 
   County:            Jackson 
   Civil District:     10 
   Place of Death:  Route # 3, Cookeville 
   Registration District No. 442 
   Cetrificate of Death No. 16480 

2.   Full Name: John Newton Crabtree 
3    Sex:          Male 
4    Color or Race: White 
5    Single, married, widowed, or divorced: Widowed 
6    Legal Residence: Rt#3, Cookeville, Tn , Jackson County 
7    Date of Birth:  Oct. 26, 1858 
8    Place of Birth: Putnam Co. Tn. 
9    Age: 81 yrs. - 9 months - 5 days 
10   Usual Occupation: Farmer 
11   Father: Full name: William Henry Crabtree 
12              Birthplace: North Carolina 
13   Mother: Maiden Name: Rebecca Wassom 
14               Birthplace: Rhea Co. Tennessee 
15    Informant:  Mack Crabtree (Son), Cookeville, Tn. 
16    Burial, Removal or cremation: Burial        
17      Cemetery: Smith Chapel, Putnam County 
18     Date 8-2-1940 
19     Undertaker: Jack Carver, Carver Funeral Home 
20     Date Filed:  Aug. 5, 1940 

               Medical Ihformation 

21      I hereby certify that I attended the deceased from Feb. 28, 1940 
         to May 16, 1940, and that I last saw him on May 16, 1940, and 
         that death occurred on the day stated at 11:49. 
22      Immediate cause of death:  Organic Heart Disease 
23      Signed:  J. T. Moore, Algood, Tn. 
24      Date:     8-2-1940 



Douglas D. Crabtree 
DDCrab1945@aol.com