State of Tennessee Office of Vital Records Certificate of Death Tennessee Department of Public Health Vital Records 1. Deceased-name -- Emmert Oral Bryan 2. Date of death (month, day, year) -- Nov. 12, 1978 3. Age last birthday (years) -- 80 4. Date of birth (month, day, year) -- Nov. 1, 1898 5. Race -- White 6. Sex -- Male 7a. County of death -- Knox 7b. City, town or location -- Knoxville 7c. Inside city limits (specify yes or no) -- Yes 7d. Hospital or other institution-name (if not in either, specify private residence, business, street, etc.) -- private residence: 3712 Thrall Dr. 8. State of birth -- Tennessee 9. Citizen of what country -- U.S.A. 10. Married, never married, widowed, divorced (specify) -- Widowed 11. Surviving spouse (if wife, give maiden name) -- 12a. Social Security Number (if none, specify ) -- (text deleted) 12b. Service in armed forces (specify war or days of service ) -- No 13a. Usual occupation -- Foreman 13b. Kind of business or industry -- Furniture 14a. Residence-state -- Tennessee 14b. County -- Knox 14c. City, town, or location -- Knoxville 14d. Street and number -- 3712 Thrall Dr. 14e. Inside city limits (specify yes or no) -- Yes 14f. Census tract no. -- 051 15. Father-name -- Wm. Harley 16. Mother-maiden name -- Nancy Virginia Harrison 17. Informant mailing address -- 3712 Thrall Dr., Lena B. Truan, Knoxville, Tenn. 18a. Burial, cremation, removal, other (specify) -- Burial 18b. Date (month, day, year) -- Nov. 14, 1978 18c. Cemetery-name -- Greenwood 18d. Location, city or town, state -- Knoxville, Tennessee 19a. Funeral director (signature) -- Walter E. Conner 19b. License no. -- 438 19c. Embalmer (signature) -- Walter E. Conner 19d. License no. -- 2637 20. Funeral home, name and address -- Mynatt's, 2829 Rennoc Rd., Knoxville, Tn. 21a. Registrar-signature -- Mary Chambers 21b. Date received by registrar -- Nov 28, 1978 23a. Medical Examiner -- E. V. Davidson 24a. Certifier -- E.V. Davidson, M.D. 24b. Mailing address, street or R.F.D. no., city or town, State, ZIP -- 2212 E.Vine Ave., Knoxville, Tenn. 37915 The informant was his daughter, Lena Maud Bryan Truan. |
This page last edited on 12 Apr 2009.