Clemons Death Records


Clemons Death Certificate transcriptions.

Callie Clemons

Lurleine Clemons

Robert Clemons

Thomas R. Clemons




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: 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

 

 

 

 

Last Updated Monday, August 31, 2009 by Deb Davis

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