PUTNAM COUNTY, TN - VITALS - Mrs. JAMES BUMBALOUGH Death Certificate
====================================================================
     USGENWEB NOTICE: In keeping with our policy of providing
         free information on the Internet, data may be used by
         non-commercial entities, as long as this message
         remains on all copied material. These electronic
         pages may NOT be reproduced in any format for profit
         or for presentation by other persons or organizations.

         Persons or organizations desiring to use this material
         for purposes other than stated above must obtain the
         written consent of the file contributor.

         The submitter has given permission to the USGenWeb Archives
         to store the file permanently for free access.

         This file was contributed for use in the USGenWeb
         Archives by: Tamie Harding
                  <hardings@mstar2.net>
====================================================================

STATE OF TENNESSEE
STATE BOARD OF HEALTH
Bureau of Vital Statistics
CERTIFICATE OF DEATH

1. Place of Death: Tennessee
 County: Putnam
 Civil Dist.: 4  
 Registration District No. 47204
 File No. 159
 Village or city: _______
 Primary Registration District no. 4
 Registered No.______
 City: _________________

2. Full Name: Mrs. JAMES BUMBALOUGH (*this is TELITHA KINNARD*)
3. Sex: F
4. Color or Race: W
5. Single, married, widowed, or divorced: Married
6. Date of Birth: Oct 16, 1862
7. Age: 64 years - mos. 4 days 
8. Occupation: Housework
9. Birthplace: White Co. Tenn
10. Name of Father: JAMES KNAIRD
11. Birthplace of Father: Tennessee
12. Maiden name of Mother: MARY HILL
13. Birhtplace of Mother: Tennessee
14. The above is true to the best of my knowledge
 Informant: W.J. Clouse
 Address: Sparta, Tenn. R 8
15. Filed: Jan 10 1923 Mrs. J.S. Trapp, Registrar
16. Date of Death: Oct 20 1922
17. I hereby certify that I attended deceased from OCT 19, 1922 to OCT 19, 1922, 
 that I last saw him alive on OCT 19, 1922, and that the death occurred on the
 date stated above, at 7 am
 The cause of death was as follows: Pneumonia following Influenza
 Duration: 4 days
 Signed: W.J. Breeding M.D.
 Dec 6, 1922 
 Address: Sparta, Tenn R8
18. Length of Residence (for hospitals, institutions, transients, or
 recent residents): _______
19. Place of Burial or removal: Board Valley Sematary
 Date of Burial: Oct 21, 1922
20. Undertaker: Wheitson
 Address: Cookeville