Office of Vital Records
Certificate of Death
Tennessee Department of Public Health
Division of Vital Statistics
 

1. Name - Ernest Lester Peters Sr.
2. Date of death - November 3, 1971
3. Race - White
4. Sex - Male
5a. Age - 76
6. Date of birth - Feb. 28, 1895
7a. County of death - Knox
7b. Location - Corryton
7c. Inside city limits - no
7d. Hospital or other institution (if not either, give street and number) - R.1, Tazewell Pike, Home
8. State of birth - Tennessee
9. Citizenship - USA
10. Status - married
11. Surviving spouse - Rose Murphy
12a. Social Security Number -
12b. Service in armed forces - no
13a. Occupation - Retired Employee
13b. Business or industry - Knox. Stove Works
14a. Residence. State - Tennessee
14b. County - Knox
14c. Location - Corryton
14d. Inside city limits - no
14e. Street and number - R.1, Tazewell Pike
15. Father - Alvin (sic) Peters
16. Mother - Sally Jane Cole
17. Informant - Mrs. Rose M. Peters, R.1, Tazewell Pike
22b. Medical Examiner Certification - Ira Pierce
23a. Certifier name - Ira S. Pierce, M.D.
23b. Address - Alcoa Hwy., Knoxville, Tenn. 37920
24a. Burial, cremation, removal - Burial
24b. Burial date - Nov. 5, 1971
24c. Cemetery - Greenwood
24d Location - Knoxville, Tennessee
25. Funeral home - Stevens Mortuary, Knoxville, Tennessee 37917
26a. Registrar - Mary Chambers
26b. Date received by local registrar - Nov 8, 1971