North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
| Registration District No: 02-00 |
Registrar's Certificate No: 2 |
156 |
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Place of Death: County: Alexander; Township: Ellendale
Name of deceased: John Andrew Cline
Sex: Male
Color/Race: White
Widowed
Name of Wife: Dolly Julian
Date of Birth: 4/6/66 (1866)
Age: 72 Years, 1 month, 19 days
Occupation: Farmer
Birthplace: Alexander County
Father's Name: Max Cline; Birthplace: NC
Mother's Maiden Name: Dinah Barger; Birthplace: NC
Informant: A.C. Cline, Taylorsville, NC
Burial: Antioch Cem; Date: 5/27/38 (1938)
Undertaker: J.M. Miller Hdw.Co.; Taylorsville, NC
Filed: Aug. 1, 1938; Miss W.T. Payne, Registrar
Date of Death: 5-26-38
Cause of death: Died suddenly in his home. Had heart disease.
Signature: A.M. Edwaset, MD; Taylorsville, NC |
Transcribed from photocopy of original document |
