Certificate of Death - Frances Koger (Hamond)
Title
Certificate of Death - Frances Koger (Hamond)
Creator
Tennessee Department of Health and Environment
Identifier
T100096
Date
1987 January 9
Description
The Tennessee Department of Health and Environment Certificate of Death for Frances Koger, wife of Thomas J. Koger.
Source
John W. Swartzwelder Jr. and Nancy Joyce (Koger) Swartzwelder
Publisher
Woodrow Wilson Presidential Library & Museum
Language
English
Text
CERTIFICATE OF DEATH
TENNESSEE DEPARTMENT OF HEALTH AND ENVIRONMENT
VITAL RECORDS
DECEASED - NAME
Frances Koger
DATE OF DEATH
January 9, 1987
AGE
75
DATE OF BIRTH
Dec. 10, 1911
RACE
White
ORIGIN OR DESCENT
American
SEX
White
COUNTY OF DEATH
Shelby
CITY, TOWN, OR LOCATION
Memphis
INSIDE CITY LIMITS
Yes
HOSPITAL OR OTHER INSTITUTION - NAME
Baptist Hospital East
IF HOSPITAL OR INSTITUTION INDICATION [unintelligible]
inpatient
STATE OF BIRTH
Mississippi
CITIZEN OF WHAT COUNTRY
USA
MARRIED, NEVER MARRIED, WIDOWED, DIVORCED
Widowed
SURVIVING SPOUSE
N/A
SOCIAL SECURITY NUMBER
426-10-7885
SERVICE IN ARMED FORCES
N/A
USUAL OCCUPATION
Retired
KIND OF BUSINESS OR INDUSTRY
Beautician
RESIDENCE - STATE
Tennessee
COUNTY
Shelby
CITY, TOWN, OR LOCATION
Memphis
STREET AND NUMBER
1105 Robin Hood
INSIDE CITY LIMITS
Yes
CENSUS TRACT NO.
080
FATHER - NAME
James Samuel Hamner
MOTHER - MAIDEN NAME
Jessie Susan Burton
INFORMANT - NAME MAILING ADDRESS
Robert Koger 12335 Early Dr. Knoxville Tn.
BURIAL, CREMATION, REMOVAL, OTHER
Burial
DATE
Jan 13. 1987
CEMETERY OR CREMATORY - NAME
National
LOCATION
Memphis, Tn.
FUNERAL DIRECTOR
[signature]
LICENSE NO.
2765
EMBALMER
[signature]
LICENSE NO.
3308
FUNERAL HOME - NAME AND ADDRESS
Memorial Park Funeral Home
REGISTRAR SIGNATURE
[signature]
DATE RECEIVED BY LOCAL REGISTRAR
Jan. 27, 1987
PHYSICIAN
[signature] MD
DATE SIGNED
1/23/87
CERTIFIER - NAME
Dr. Russel Patterson
MAILING ADDRESS
Suite 410 6025 Walnut Grove Rd. 38119
DEATH WAS CAUSED BY
IMMEDIATE CAUSE: cerebral [unintelligible]
INTERVAL BETWEEN ONSET AND DEATH
2 wks.
DUE TO OR AS A CONSEQUENCE OF: [unintelligible]
INTERVAL BETWEEN ONSET AND DEATH
2 wks.
TENNESSEE DEPARTMENT OF HEALTH AND ENVIRONMENT
VITAL RECORDS
DECEASED - NAME
Frances Koger
DATE OF DEATH
January 9, 1987
AGE
75
DATE OF BIRTH
Dec. 10, 1911
RACE
White
ORIGIN OR DESCENT
American
SEX
White
COUNTY OF DEATH
Shelby
CITY, TOWN, OR LOCATION
Memphis
INSIDE CITY LIMITS
Yes
HOSPITAL OR OTHER INSTITUTION - NAME
Baptist Hospital East
IF HOSPITAL OR INSTITUTION INDICATION [unintelligible]
inpatient
STATE OF BIRTH
Mississippi
CITIZEN OF WHAT COUNTRY
USA
MARRIED, NEVER MARRIED, WIDOWED, DIVORCED
Widowed
SURVIVING SPOUSE
N/A
SOCIAL SECURITY NUMBER
426-10-7885
SERVICE IN ARMED FORCES
N/A
USUAL OCCUPATION
Retired
KIND OF BUSINESS OR INDUSTRY
Beautician
RESIDENCE - STATE
Tennessee
COUNTY
Shelby
CITY, TOWN, OR LOCATION
Memphis
STREET AND NUMBER
1105 Robin Hood
INSIDE CITY LIMITS
Yes
CENSUS TRACT NO.
080
FATHER - NAME
James Samuel Hamner
MOTHER - MAIDEN NAME
Jessie Susan Burton
INFORMANT - NAME MAILING ADDRESS
Robert Koger 12335 Early Dr. Knoxville Tn.
BURIAL, CREMATION, REMOVAL, OTHER
Burial
DATE
Jan 13. 1987
CEMETERY OR CREMATORY - NAME
National
LOCATION
Memphis, Tn.
FUNERAL DIRECTOR
[signature]
LICENSE NO.
2765
EMBALMER
[signature]
LICENSE NO.
3308
FUNERAL HOME - NAME AND ADDRESS
Memorial Park Funeral Home
REGISTRAR SIGNATURE
[signature]
DATE RECEIVED BY LOCAL REGISTRAR
Jan. 27, 1987
PHYSICIAN
[signature] MD
DATE SIGNED
1/23/87
CERTIFIER - NAME
Dr. Russel Patterson
MAILING ADDRESS
Suite 410 6025 Walnut Grove Rd. 38119
DEATH WAS CAUSED BY
IMMEDIATE CAUSE: cerebral [unintelligible]
INTERVAL BETWEEN ONSET AND DEATH
2 wks.
DUE TO OR AS A CONSEQUENCE OF: [unintelligible]
INTERVAL BETWEEN ONSET AND DEATH
2 wks.
MEMPHIS & SHELBY HEALTH DEPARTMENT - 814 JEFFERSON AVENUE, MEMPHIS, TENNESSEE
THIS IS TO CERTIFY that this is a true and correct copy of the record filed with the Division of Vital REcords, Tennessee Department of Public Health by the Memphis and Shelby County Health Department.
Date Issued: SEP 2 9 1989
BY [signature]
Robert E. Burke, Director
Division of Vital Records
THIS IS TO CERTIFY that this is a true and correct copy of the record filed with the Division of Vital REcords, Tennessee Department of Public Health by the Memphis and Shelby County Health Department.
Date Issued: SEP 2 9 1989
BY [signature]
Robert E. Burke, Director
Division of Vital Records
Original Format
Certificate
To
Koger, Frances
Files
Collection
Citation
Tennessee Department of Health and Environment, “Certificate of Death - Frances Koger (Hamond),” 1987 January 9, T100096, Thomas J. Koger Collection, Woodrow Wilson Presidential Library & Museum, Staunton, Virginia.