North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
| Registration District No:2-5-01 |
Registrar's Certificate No: |
336 |
|
|
Place of Death: County: Alexander; Township: Ellendale
Name of deceased: Ralph Jr. Teague
Sex: Boy
Color/Race: White
Single
Date of Birth: June 14, 1930
Age: 2 mos
Birth Place: Alexander Co. NC
Father's Name: Ralph Teague
Father's Birthplace: Alexander County, North Carolina
Mother's Maiden Name: Biola Cline
Mother's Birthplace: Alexander County, North Carolina
Informant's Name & Address: Ralph Teague, Taylorsville, NC.
Date of Death: August 19, 1930
Cause of Death: Bralde Hives
Where was disease contracted: Alexander County
Signed: No ? Called.
Burial: Antioch Cemetery Aug. 20, 1930
Undertaker: Friends, Taylorsville.
Filed: 9-16-30
Registrar signature: W.T. Payne
|
Transcribed from copy of original death certificate |
