State of Tennessee
State Department of Health
Division of Vital Statistics
Certificate of Death #17613
 

1. Place of death -- County: Knox, Civil Dist.: 15, City (or town): ; Registration District No 44815, Primary Registration District No 44815, Reg. No. 25
2. Full name -- Mrs. Nancy Bryan     (A) Residence: Route 1, Straw Plains
3. Sex -- F
4. Race or color -- W
5. Single, married, widowed, or divorced -- Widow
5a. Widowed -- W.H. Bryan
6. Date of Birth -- Apr 14, 1876
7. Age -- 62 yrs, 2 mos., 27 ds.
8. Trace, profession, or particular kind of work done, a spinner, sawyer, bookkeeper, etc. -- Housekeeper
9. Industry or business in which work was done, as silk mill, saw mill, bank, etc.
10. Date deceased last worked at this particular occupation month and year)____
11. Total time (years) spent in this occupation
12. Birthplace (city or town) -- Tennessee; (State or Country) -- _________
13. Father's name -- Joseph Harrison
14. Father's birthplace -- Virginia
15. Mother's maiden name -- Susan Slaton
16. Mother's birthplace -- North Carolina
17. Informant -- Mrs. W.F. Kyle, 117 Copeland Ave., Knoxville
18. Burial, cremation, or removal -- date, July 12, 1928; place, Drinnen
19. Undertaker -- K. Hawlings & Co., Sevierville, Tenn.
20. Filed -- Aug 3, 1938  Mary G. Lee
21. Date of death -- July 11, 1938
22. I hereby certify that I attended from ___to ___ and that I last saw her alive on  death is said to have occurred on the date stated above AT 1 a.m.  The principal cause of death and related causes on order of onset were: Cerebral Hemorrhage.  Contributory causes of importance but not related to principal cause  Hypertensive Cardio-Renal disease.
23.
24. Signed Thos. B. Brinneu (?) (Address) 604 Med Arts Bldg