UNICOI COUNTY, TN - VITALS - Death Certificate for Sam Tittle
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Death Certificate for Sam Tittle

County-Unicoi
Civil Dist.-5th
City-Erwin
Registration District No.-871
Primary Registration District No.-48705
File No.-392
Registered No.-57


Full Name-Sam Tittle
Sex-Male
Color or Race-White 
Married
Date of Birth-July 12, 1848
Age-75 years, 1 month, 12 days
Occupation-Farming
Birthplace-Tennessee
Name of Father-John Tittle
Birthplace of Father-Tennessee
Name of Mother-Nancy Tittle
Birthplace of Mother-Tennessee

The above is true to the best of my knowledge-Informant-Charles Tittle
                                                                             
Address-Erwin, Tenn.
Filed-8-31-1921 Lela Tilson, Registrar

Date of Death-August 22, 1921
Cause of Death-Manic (?) Interstetial (?) Nephritis
Signed-J.C. Huraley (?)
August 31, 1921 Address-Erwin, Tenn.

Place of Burial or Removal-Fishery Cemetery
Date of Burial-August 23, 1921
Undertaker-B. M. Allred
Address-Erwin, Tenn.