JACKSON COUNTY, TN - VITALS - Death Certificate for Andy Maberry
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State of Tennessee
State Board of Health
Bureau of Vital Statistics
Certificate of Death: 331

Place of Death
County: Jackson
Civil Dist: 11
Registration District: 44411
Full Name: Andy Maberry
Sex: Male
Color or Race: White
Single, Married, Widowed or Divorced: Widowed
Date of Birth: Aug 10, 1854
Age: 66 years 7 mos. 5 das
Occupation: Farmer
Birthplace: Tenn
Name of Father: William Maberry
Birthplace of Father: Tenn
Maiden Name of Mother: Elviry Brown
Birthplace of Mother: Tenn
Informant: John Maberry
Address: Gainesboro
Registrar: L. R. Anderson
Filed: 5/16/1921
Date of Death: 3/15/1921
I hereby certify that I attended deceased from 3/5/1921 to 3/15/1921
that I last saw him alive on 3/13/1921 and that death occurred, on the date
stated above at 1 pm. The cause of death was as follows: influenza
Signed: L. R. Anderson
3/16/1921
Gainesboro, Tenn
Place of Burial or Removal: Gailbreath Cemetery
Date of Burial: 3/16/1921
Undertaker: Johnson Spurlock
Gainesboro