| |
Alexander County, North Carolina
|
| |
|
| |
Wayne Teague |
| |
|
| |
North Carolina State Board of Health
Office of Vital Statistics
Certificate of Death
| Registration District No:02-00 |
Registrar's Certificate No: 2 |
23 |
|
|
Place of Death: County: Alexander; Township: Elendale
Name of deceased: Wayne Teague
Sex: Male
Color/Race: White
Single
Date of Birth: Jan. 20,1936
Age: 15ds.
Birth Place: Alexander Co. NC
Father's Name: Ralph Teague
Father's Birthplace: North Carolina
Mother's Maiden Name: Viola Teague
Mother's Birthplace: North Carolina
Informant's Name & Address: Mr. Ralph Teague, #1 Taylorsville, NC.
Date of Death: 2-5-36
I hereby certify that I attended deceased from -----. That I last saw alive on ------ and that death occured on the date above stated at 4pm.
Cause of Death: Had no doctor. Losed Register.
Burial: Antioch Cemetery 2-6-36
Undertaker: Adams Funeral Home, Taylorsville, NC
Filed: 3-8-36
Registrar signature: MD W.T. Payne
|
Transcribed from copy of original death certificate |
| |
|
|
|
|
