Death Certificate – Daniel Franklin Gann

Transcribed information from the KY Death Certificate for Daniel Franklin Gann. (Author’s notes are bracketed).
Dan Gann

  • State File No 14903
  • Registrar’s No 66
  • Registration District No 1351
  • Primary Registration District No 8281

1. Place of Death
1a. County – Simpson
1b. City or town – Rural
1c. Name of hospital or institution – East Simpson [community]
1d. Length of stay in hospital or community – 20 Years
2. Usual Residence of Deceased
2a. State – KY
2b. County – Simpson
2c. City or town – Rural
2d. Street No (or precinct) – Liberty [precinct]
3a. Full Name – Daniel Franklin Gann
3b. If veteran, Name of war – None
3c. Social Security No – No
4. Sex – Male
5. Color or race – White
6a. Single, Widowed, Married, Divorced – Married
6b. Name of husband or wife – Gertie Gann
6c. Age of husband or wife if alive – 65
7. Birth date of deceased – Aug 10th 1878
8. Age – 65 Years, 10 Months, 4 Days
9. Birthplace – Decalb County, Tenn [Dekalb]
10. Usual occupation – Farmer
11. Industry or business – [blank]
12. Father’s Name – Bud Gann [James Christopher(Christial Bud) Gann]
13. Father’s Birthplace – Decalb County, Tenn [Dekalb]
14. Mother’s Maiden Name – Unknown [Josephine Higgins]
15. Mother’s Birthplace – Unknown
16a. Informants own signature – C H Gann
16b. Address – Franklin, KY
17. Burial, Cremation, or Removal
Place – Providence [Baptist Church]
Date – 6/16/1944
18a. Signature of Funeral Director – Booker & Sons
18b. Address – Franklin, KY
19a. Date received by local registrar – 6-16-44
19b. Registrar’s signature – Christine Biggs

Medical Certification

20. Date of death – June 14, 1944
21. [Time of Death] – 1:30 PM
Due to Hypertension
Major Findings of Operations – 83A-102

22. If death was due to external causes….. [all fields blank]

23. Signature – R.E. Bryan (Coroner)
Address – Franklin, KY
Date Signed – 6-14-44

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See the original document.

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