WHITE COUNTY, TN - VITALS - John Selby Death Certificate
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STATE OF TENNESSEE
STATE DEPARTMENT OF HEALTH
Division of Vital Statistics

CERTIFICATE OF DEATH

1. Place of Death: Tennessee
 County: White 
 Civil Dis: 1
 Village or City: Sparta
 Registration District No: 941
 File No: 23324
 Primary Registration District No: 1
 Reg. No: 48
2. Full Name: John Selby
3. Sex: Male
4. Color or Race: White
5. Single, Married, Widowed, or Divorced: Married
 Husband of or wife of: Unknown
6. Date of Birth: Nov 25, 1853
7. Age: 77 Years, 10 Months, 16 days
8. Trade, profession: Farmer
9. Industry or business: vvvvvvv
10. Date deceased last worked: -------
11. Total time spent in this occupation: 
12. Birthplace: Tennessee
13. Father's name: Ell Selby
14. Father's birthplace: Tennessee
15. Mother's maiden name: Una Stamps
16. Mother's birthplace: Tennessee
17. Informant: Nathern Selby
 Address: Sparta #8
18. Burial, Cremation, or Removal: 
 Place: Board Valley
 Date: Oct 12, 1931
19. Undertaker: HB Hunter
 Address: Sparta
20. Filed: Nov 3, 1931
 Alla Richards, Regisrar
21. Date of Death: Oct 11, 1931
22. I hereby certify that I attended deceased from OCT 11, 1931 to 
OCT 11, 1931.  I last saw him alive on Oct 11, 1931 death is said to 
have occurred on the date stated above, at 1 pm.  The principal cause 
of death and related causes of importance in order of onset were as 
follows: Killed by auto, mo(?)ibund when I saw him
23. Accident, suicide, or homicide: 
 Where did injury occur? Near Sparta

Signed: S E Gaines M.D.
Address: Sparta, Tenn