Malissa E. Underwood Death Certificate

1. Full Name -- Malissia Bryan
2. Date of death -- Aug 19, 1946
3. Place of death -- A. County, Sevier; Civil District, 8; B. City or Town, Rural; C. Name of hospital (if not Hospital or Institution, City Street Address and Location), Kodak; D. Length of state in hospital, ; in community,
4. Usual residence -- A. State, Tenn.; B. County, Sevier; Civil District, 8; C . City or Town, Rural; D. Street address, R#1 Kodak; E. Citizen of foreign country, no
5. Race or color -- White
6. Sex -- Female;
7. Single, married, widowed, divorced -- Widowed
8. Age -- 91 years, 9 months, 8 days
9. Date of birth -- month Nov, day 11, year 1855
10. Place of birth -- county, Sevier; state, Tenn
11. Husband or wife of -- William A. Bryan
12. If veteran, name of war -- Social Security Number --
13. Usual Occupation -- Housewife
14. Industry or business --
15. Father -- full name, William Underwood; birth place -- county, Sevier; state, Tenn.
16. Mother's maiden name -- Martha Langston; birth place -- county, Sevier; state, Tenn.
17. Informant -- Elmer Bryan; address -- R#1, Kodak
18. Burial, cremation, removal -- Burial; date, Aug. 21, 1946
19. Undertaker -- Atchley Funeral Home; address, Sevierville; by M. Smelcer, date filed, 9/30/1946, Eura F. Louelling, Deputy
20. Medical certification -- I hereby certify that I attended the ceceased from ________ 19__ to _______ 19 __ and that death occurred on the date stated at 11:30 P.M. Immediate cause of death: due to senility; other conditions, cerebral hemorrhage
21. If death was due to external causes fill in the following: a) Accident, suicide or homicide (specify) _____ b) date of occurrence ______ c) where did the injury occur ______ d) did injury occur in or about home, on farm, in industrial place, in public place?____ while at work _____ means of injury ______ signature T.R. French, MD. addresss Dandridge date signed 8-28-46

Malissa E. Underwood Death Certificate image of death certificate photograph