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Alva Edward Peters Death Certificate       image of death certificate

Certificate of Death
Dept. of Public Health
State of Tennessee Div. of Vital Statistics
Cooperating with Dept. of Commerce
Bureau of the Census
 
1. Full name - Alva Edward Peters
2. Date of death - 4/21/42
3. Place of death - Anderson County, Civil District 9, Edgemoore, Tenn., R.F.D. #1
4. Legal residence - state: Tenn., county: Anderson, Civil District: 9, city: Edgemoore, Tenn., street: R.F.D.#1
5. Race - w
6. Sex - male
7. Status - married
8. Age - 71 years, 6 months, 7 days
9. Date of birth - Oct 14 1870
10. Place of birth - Tenn.
11. Husband or wife of - Sallie Peters
14. Industry or business - farmer
15. father - John Peters, born in Tenn.
16. mother - Hulda Cross, born in Tenn.
17. Informant - Mrs. Sallie Peters, Edgemoore, Tenn. R.F.D. #1
18. Burial - 4/23/42, Mt. Vernon Cem. Anderson Co.
19. Undertaker - Martin Funeral Home, Lake City, Tenn. Paul Martin
20. I hereby certify that I attended the deceased from July 13, 1941 to April 21, 1942 and that I last saw him alive on April 21, 1942 and that death occurred on the date stated at 9:20 A.M.  Immediate cause of death Carcinoma of the prostate.  Signature: O.E. Ballou, M.D.  Address: Clinton, Tenn. Date signed 2/3/43.
 

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This page last edited on 28 Aug 2008.