John Tivis Cox Death Certificate

1. Place of death -- County: Jefferson, Civil Dist.: 1st, Registration District: 44601, File number: 457, Village: Primary Registration District No.: , Registered no.: 15.
2. Full name -- John Tivis Cox
3. Sex -- Male
4. Color or race -- White
5. Single, married widowed, or divorced -- Widowed
6. Date of birth -- March 3, 1839
7. Age -- 76 yrs, 3 mos., 28 ds.
8. Occupation. a) Trade, profession, or particular kinds of work -- Farmer b) General nature of business, or establishment in which employed --
9. Birthplace -- Greene Co.
10. Name of father -- Riley Cox
11. Birthplace of father -- Greene Co.
12. Maiden name of mother -- Frances Price
13. Birthplace of mother -- Greene County
14. The above is true to the best of my knowledge (Informant) signed Anderson Cox, Dandridge, R.4
15. Filed July 6, 1915 -- Daniel Harrison.
16. Date of death -- July 5, 1915
17. I hereby certify that I attended from July 1, 1913 to Jul 3, 1915 and that I last saw him alive on Jul 3, 1915 and that death occurred on the date stated above at 3 P.M. The cause of death was as follows: Peralosis? Conflecative? meth? Dylseretly? Signed J.M. Caldwell, M.D. July 6, 1915 (Address) Jefferson, Tenn
18. Length of residence --
19. Place of burial or removal -- Pleasant Hill; Date of burial -- July, 1915
20. Undertaker -- J.W. Daule?, Address -- Dandridge

The informant Anderson Cox was the younger half-brother of John Tivis Cox. I have my doubts about the birth place of Riley Cox and Frances Price as given by the death certificate. In particular, I think it is likely that Riley Cox was born in Wilkes County, North Carolina.

John Tivis Cox image of death certificate