DEATH CERTIFICATE

TRANSCRIPTIONS C SURNAMES

 

Ezra Cherry

Maggie Anderson Cherry

Anna M. Claypool

Anna M. Claypool

Guy Claypool

Jack Claypool

Lewis Claypool

Louis Claypool

Marian Claypool

Nannie Bell Claypool

Callie Clemons

Hattie Clemons

John Clemons

Lurleine Clemons

Robert Clemons

Thomas R. Clemons

Wash Clemons

Clessie Crossland

Thomas Crossland

Manervia Crossland

 Julia Lorne Culbertson

George Scott CULTHBERTSON

Rebecca Curtis

 

County of:  Pulaski
Township or Road District or Village:
Primary Dist No.:
Full Name:  Ezra CHERRY
Residence No.:

How Long In State: 
Gender:  Male
Color or Race:  Black
Single, Married, Widowed or Divorced:  Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth:  September 21, 1844
Age: 76 Years months  days
Occupation of Deceased: 
Birthplace:  Mississippi
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant: 

Address: 
Filed:
Date Of Death:  August 31, 1921
Cause Of Death: Cerebral Hemmorage

Place of Death: 
Signed:
Place Of Burial:  Villa Ridge
Date Of Burial: 
Undertaker: 
Address:  

 

 

County of: Pulaski
Township or Road District or Village: Pulaski
PrimaryDist No.:
Full Name: Maggie ANDERSON-CHERRY
Residence No.:
Gender:
Color or Race: Negro
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: September 7, 1896
Age: Years months days
Occupation of Deceased:
Birthplace:
Name Of Father: Chas. ANDERSON
Birthplace Of Father: Kentucky
Maiden Name Of Mother: Cora ANDERSON
Birthplace Of Mother: Tennessee
Informant: John Cherry
Address:
Filed:
Date Of Death: July 12, 1924
Cause Of Death: Peritonits
Signed:
Place Of Burial: Unity
Date Of Burial: July 14, 1924
Undertaker: M.O. LEOLE
Address: Mounds, Illinois

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Anna M. CLAYPOOL
Residence No.:
Gender: Female
Color or Race: Negro
Single, Married, Widowed or Divorced: Widow
If married, widowed or divorced
Husband of (or) Wife of: Guy CLAYPOOL
Date of Birth: Nov 8, 1894
Age: Years months days
Occupation of Deceased: Housework
Birthplace: Mound City, Illinois
Name Of Father: Beverly JAMES
Birthplace Of Father: Massac County,
Maiden Name Of Mother: Mary JAMES
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: April 17, 1934
Cause Of Death: Apr 17, 1934
Signed:
Place Of Burial: Thistlewood
Date Of Burial: April 20, 1934
Undertaker:
Address:

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Anna M. CLAYPOOL
Residence No.:
Gender: Female
Color or Race: Colored
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: August 19, 1926
Age: Years months days
Occupation of Deceased:
Birthplace:
Name Of Father: Jack CLAYPOOL
Birthplace Of Father: Illinois
Maiden Name Of Mother: Oddia HENDERSON
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: September 15, 1927
Cause Of Death: Gastro Enleratis
Signed:
Place Of Burial: Grand Chain, Illinois
Date Of Burial: September 1 , 1927
Undertaker:
Address:

 


 

County of:: Pulaski
Township or Road District or Village: Pulaski
PrimaryDist No.:
Full Name: Guy CLAYPOOL
Residence No.:
Gender: Male
Color or Race: Colored
Single, Married, Widowed or Divorced: Single
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: December 31, 1924
Age: Years 8 months, 5 days
Occupation of Deceased:
Birthplace: Illinois
Name Of Father: Jack CLAYPOOL
Birthplace Of Father: Illinois
Maiden Name Of Mother: Audra HENDERSON
Birthplace Of Mother: Illinois
Informant:
Address: Filed:

Date Of Death: September 5, 1925 Cause Of Death: Gastro Enleritis

Signed:
Place Of Burial: Grand Chain
Date Of Burial: September 6, 1925
Undertaker:
Address:

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Jack CLAYPOOL
Residence No.:
Gender: Male
Color or Race:
Single, Married, Widowed or Divorced:
If married, widowed or divorced Husband of (or) Wife of:

Date of Birth: July 3, 1902
Age: Years, months, days
Occupation of Deceased:
Birthplace:
Nationality:
Name Of Father: Lewis CLAYPOOL
Birthplace Of Father: Tennessee
Maiden Name Of Mother: Fannie GARDNER
Birthplace Of Mother:Tennessee
Informant:
Address:
Filed:
Date Of Death: Jul 22, 1949
Cause Of Death: Coronary Thrombosis
Signed:
Place Of Burial: Grand Chain Cemetery
Date Of Burial:
Undertaker:
Address:

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Lewis CLAYPOOL
Residence No.:
Gender: Male
Color or Race: Colored
Single, Married, Widowed or Divorced: Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: April 12, 1863
Age: 55 Years, 6 months, 12 days
Occupation of Deceased: Farmer
Birthplace: Kentucky
Name Of Father: John CLAYPOOL
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant: Fannie CLAYPOOL Address:
Filed:
Date Of Death: October 24, 1918
Cause Of Death: Endocarditis
Signed:
Place Of Burial: Methodist Cemetery
Date Of Burial: October 25, 1918
Undertaker: W.A. GAUNT Address:


County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Louis CLAYPOOL, Jr.
Residence No.:
Gender: Male
Color or Race:
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth:
Age: Years, months, days
Occupation of Deceased:
Birthplace:
Nationality:
Name Of Father: Louis CLAYPOOL, Jr., Farmer
Birthplace Of Father:
Maiden Name Of Mother: Clatie WOOLFOLK
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: April 28, 1926
Cause Of Death:
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Marian CLAYPOOL
Residence No.:
Gender: Male
Color or Race:
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: Mar 17, 1937
Age: Years, months, days
Occupation of Deceased:
Birthplace: Pulaski County, Illinois
Nationality:
Name Of Father: Arthur CLAYPOOL
Birthplace Of Father: Olmsted, Illinois
Maiden Name Of Mother: Marie MCCLELLAND
Birthplace Of Mother: Grand Chain, Illinois
Informant:
Address:
Filed:
Date Of Death: July 14, 1937
Cause Of Death:
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Nannie Bell CLAYPOOL
Residence No.:
Gender: Female
Color or Race: Negro
Single, Married, Widowed or Divorced: Single
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: February 15, 1923
Age: Years months days
Occupation of Deceased:
Birthplace: Grand Chain, Illinois
Name Of Father: Louis CLAYPOOL
Birthplace Of Father: Grand Chain, Illinois
Maiden Name Of Mother: Clatie
Birthplace Of Mother: Grand Chain, Illinois
Informant:
Address:
Filed:
Date Of Death: March 31, 1942
Cause Of Death: Tubercolosis Peritonitis
Signed:
Place Of Burial: Grand Chain, Illinois
Date Of Burial:
Undertaker:
Address:


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Callie CLEMONS
Residence No.:
Gender: Female
Color or Race: Colored
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: 1860
Age: 62 Years months days
Occupation of Deceased: Housework
Birthplace: North Carolina
Name Of Father: John WILLIAMS
Birthplace Of Father: North Carolina
Maiden Name Of Mother: Charity MUSE
Birthplace Of Mother: Virginia
Informant: William CLEMONS
Address:
Filed:
Date Of Death: April 5, 1922
Cause Of Death: Arterio Sclerosis And Bronchitis
Signed:
Place Of Burial: Methodist Cemetery
Date Of Burial: April 6, 1922
Undertaker: W. A. GAUNT
Address:


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Hattie CLEMONS
Residence No.:
Gender: Female
Color or Race: Black
Single, Married, Widowed or Divorced:
If married, widowed or divorced, Husband of (or) Wife of:
Date of Birth:
Age: Years 10 months days
Occupation of Deceased:
Birthplace: Pulaski County
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: May 14, 1902
Cause Of Death: Pertussis
Signed:
Place Of Burial: Grand Chain
Date Of Burial: April 6, 1922
Undertaker:
Address:


 

County Of: Pulaski
Township Or Road District Or Village:
Primarydist No.:
Full Name: John CLEMONS
Residence No.:
Gender: Male
Color Or Race: Black
Single, Married, Widowed Or Divorced:
If Married, Widowed Or Divorced
Husband Of (Or) Wife Of:
Date Of Birth:
Age: Years 9 Months Days
Occupation Of Deceased:
Birthplace: Mound City
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: Dec 27, 1884
Cause Of Death: Pneumonia
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Lurleine CLEMONS
Residence No.:
Gender: Female
Color or Race: B lack
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: May 15, 1903
Age: 29 Years, 2 months, 10 days
Occupation of Deceased: Invalid for 21 years
Birthplace: Mound City, Illinois
Name Of Father: Thomas CLEMONS
Birthplace Of Father: Illinois
Maiden Name Of Mother: Maggie HUGHES
Birthplace Of Mother: Illinois
Informant:
Address:
Filed:
Date Of Death: Nov 25, 1932
Cause Of Death: Pneumonia, Labor ____ Uni-Latteral
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:

 


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Robert CLEMONS
Residence No.:
Gender: Male
Color or Race: Male
Single, Married, Widowed or Divorced:
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: 1884
Age: Years months days
Occupation of Deceased:
Birthplace: Mounds, Illinois
Name Of Father: Washington CLEMONS
Birthplace Of Father: Virginia
Maiden Name Of Mother: Mandy REED
Birthplace Of Mother: Fulton, Kentucky
Informant:
Address:
Filed:
Date Of Death: Nov 25, 1932
Cause Of Death: Urina
Signed:
Place Of Burial: Bethel
Date Of Burial: November 28, 1932
Undertaker:
Address:


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Thomas R. CLEMONS
Residence No.:
Gender: Male
Color or Race: Colored
Single, Married, Widowed or Divorced: Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: July 25, 1882 Age: 44 Years, 15 days
Occupation of Deceased:

Birthplace: Mound City, Illinois
Name Of Father: Robert CLEMONS Birthplace Of Father: Illinois
Maiden Name Of Mother: Mary BRANHAM
Birthplace Of Mother: Tennessee
Informant:
Address:
Filed:
Date Of Death: August 9, 1926

Cause Of Death: Homicide (Justifiable) Signed:
Place Of Burial: Spencer Hts.
Date Of Burial: August 11, 1926
Undertaker: G.O. JAMES

Address: Mound City, Illinois


 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Wash CLEMONS
Residence No.:
Gender: Male
Color or Race: Black
Single, Married, Widowed or Divorced: Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth:
Age: 80 Years, days
Occupation of Deceased: Farmer
Birthplace: Tennessee
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Address:
Filed:
Date Of Death: November 22, 1902
Cause Of Death: Malaria Fever
Signed:
Place Of Burial: Mound City
Date Of Burial:
Undertaker:
Address:


 

County of: Pulaski

Township or Road District or Village: Grand Chain

Primary Dist No.:

Full Name: Clessie CROSSLAND

Residence No.:

Gender: Female

Color or Race: Negro

Single, Married, Widowed or Divorced: Married

If married, widowed or divorced

Husband of (or) Wife of:

Date of Birth: March 25, 1904

Age: 54 Years, months, days

Occupation of Deceased:

Birthplace: Brownfield, Illinois

Name Of Father: Jack WARD

Birthplace Of Father:

Maiden Name Of Mother: Martha SUTTON

Birthplace Of Mother:

Informant: Ed CROSSLAND

Address:

Filed:

Date Of Death: April 22, 1958

Cause Of Death: Coronary Thrombosis

Signed:

Place Of Burial: Grand Chain

Date Of Burial:

Undertaker: W.A. GAUNT

Address: Grand Chain, Illinois

 

 

County of: Pulaski
Township or Road District or Village:
PrimaryDist No.: Full Name: Manervia CROSSLAND
Residence No.:
Gender: Female
Color or Race: Colored
Single, Married, Widowed or Divorced: Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: September 5, 1903
Age: 19 Years, 10 months, 3 days
Occupation of Deceased: School Girl
Birthplace: Kentucky
Name Of Father: John CROSSLAND
Birthplace Of Father: Kentucky
Maiden Name Of Mother: Belle NORSTON
Birthplace Of Mother: Tennessee
Informant: John CROSSLAND
Address: Grand Chain, Illinois
Filed:
Date Of Death: July 8, 1923
Cause Of Death: Tuberculosis, Secondary Influenza
Signed:
Place Of Burial: Grand Chain, Illinois
Date Of Burial: July 9, 1923
Undertaker: E.D. RUFFIN
Address: Grand Chain, Illinois


 

County of:: Pulaski
Township or Road District or Village:
PrimaryDist No.:
Full Name: Thomas CROSSLAND
Residence No.:
Gender: Male
Color or Race: Colored
Single, Married, Widowed or Divorced: Married
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: Octover 22, 1880
Age: 37 Years, 6 months, 2 days
Occupation of Deceased: Farmer
Birthplace: Kentucky
Name Of Father: John D. CROSSLAND
Birthplace Of Father: Kentucky
Maiden Name Of Mother: Belle WINSTON
Birthplace Of Mother:
Informant: John D. CROSSLAND
ADDRESS:
Filed:
Date Of Death: May 18, 1918
Cause Of Death: Drowned
Signed:
Place Of Burial: Methodist Cemetery
Date Of Burial:
Undertaker: W.A. GAUNT
Address: Grand Chain, Illinois


 

County of:: Pulaski
Township or Road District or Village: Ullin
PrimaryDist No.:
Full Name: Julia Lorne CULBERTSON
Residence No.:
Gender: Female
Color or Race: White
Single, Married, Widowed or Divorced: Single
If married, widowed or divorced Husband of (or) Wife of:
Date of Birth: August 6. 1941
Age: Years, 10 months, 21 days
Occupation of Deceased:
Birthplace:
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Filed:
Date Of Death: June 27, 1942
Cause Of Death: Oleorhiaol Colonis Due to: Improper Jovol - Jovol poisoning
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:


 

County of:: Pulaski
Township or Road District or Village: # 5
PrimaryDist No.: 7578
Full Name: George Scott CULTHBERTSON
Residence No.:
Gender: Male
Color or Race: White
Single, Married, Widowed or Divorced: Divorced
If married, widowed or divorced Husband of (or) Wife of: Ruth ?
Date of Birth: Oct. 16, 1896
Age: 42 Years, 8 months, 6 days
Occupation of Deceased: Coal Miner
Birthplace:
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:
Filed:
Date Of Death: June 20, 1939
Cause Of Death: Accidental drowning while fishing in Ohio River
Signed:
Place Of Burial:
Date Of Burial:
Undertaker:
Address:

 


County of: 
Township or Road District or Village:
Primary Dist No.:
Full Name:  Rebecca CURTIS
Residence No.:

How Long In State: 
Gender:  Male
Color or Race:  Colored
Single, Married, Widowed or Divorced:  Widow
If married, widowed or divorced
Husband of (or) Wife of:
Date of Birth: 
Age: 80 Years months  days
Occupation of Deceased: 
Birthplace:  Louisiana
Name Of Father:
Birthplace Of Father:
Maiden Name Of Mother:
Birthplace Of Mother:
Informant:  Lewis SAMS

Address: 
Filed:
Date Of Death:  February 25, 1921
Cause Of Death: Paralysis

Place of Death: 
Signed:
Place Of Burial:  National Cemetery
Date Of Burial: 
Undertaker: 
Address:  

 

 

 


 

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