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Notes - William Lewis Peak Death Certificate, March 30, 1934:

William Lewis Peak Death Certificate, March 30, 1934

This is a copy of William Lewis Peak's death certificate.

Bill Peak has written asking for information about his family. He asks that you please feel free to contact him at billpeak@gmail.com or 225-335-6680 about the people mentioned here.

Here is a copy of his email:

Subject: Document for your site
From: "Bill Peak"
Date: Wed, February 13, 2008 12:55 pm
To: webmaster@roanetnhistory.org

Attached is a death certificate for my great-grandfather, William Louis Peak, who was born in Rockwood, Roane, TN is Jan 1870. Don't know if you're interested in this type of document but I wanted to make it available if you are. William's parents were Luke Peak and Nancy Ballew. Most research I have seen shows that Luke and Nancy were married in Roane County in March 1869 but I can't find anyone who even knows they had a child.

Anyway, my hope in sharing this document is that someone will get in touch with me who has information on this family as I've had no luck in finding out who Luke Peak was or where he came from.

Thank you,

--
Bill Peak

-- G. Anne Sloan

Images - William Lewis Peak Death Certificate, March 30, 1934:

William Lewis Peak Death Certificate, March 30, 1934 -- Page 1

Transcription - William Lewis Peak Death Certificate, March 30, 1934:

TEXAS STATE BOARD OF HEALTH
BUREAU OF VITAL STATISTICS
STANDARD CERTIFICATE OF DEATH

1. PLACE OF DEATH: County Wilson
                   City: Stockdale
2. FULL NAME: William L. Peak
Length of residence in city or town where death occurred: 4 years 3 months 10 days


PERSONAL AND STATISTICAL PARTICULARS

3. SEX: Male
4. COLOR OR RACE: white
5.SINGLE, MARRIED, WIDOWED OR DIVORCED
     married
6. DATE OF BIRTH: January 9, 1870
7. AGE: 64 years 2 months 21 days
8. OCCUPATION: Farmer
9. BIRTHPLACE: Rockwood, Rhone {Ed: this should be spelled Roane} Co., Tenn.
10. NAME OF FATHER: Luke Peak
11. BIRTHPLACE OF FATHER: Tennessee
12. MAIDEN NAME OF MOTHER: Nancy Ballew
13. BIRTHPLACE OF MOTHER: Tennessee
14. THE ABOVE IS TRUE: (Endorsement) Mrs. William L. Peak, (Address) Galena Park, Texas
15. Filed: {left blank}


MEDICAL PARTICULARS

16. DATE OF DEATH: March 30, 1934

17. I HEREBY CERTIFY, That I attended deceased from 
Sept. 1933 to March 30, 1934  
that I last saw him alive on March 30, 1934 
and that death occurred on the date stated above, at 8:30 A.M.

The CAUSE OF DEATH* was as follows: Chronic Myocarditis
  (duration) ____yrs. ____mos. ____days
Contributory (Secondary) {left blank}
  (duration) ____yrs. ____mos. ____days
  
18. Where was disease contracted if not at place of death? {left blank}
Did an operation precede death? {left blank}
What test confirmed diagnosis? {left blank}
(Signed) H. B. May, M. D., (Address) Stockdale, Texas

* State the Disease Causing Death, or in deaths from Violent Causes,
state (1) Means and Nature of Injury, and (2) whether Accidental,
Suicidal, or Homicidal.

19. PLACE OF BURIAL OR REMOVAL: Stockdale, Texas
DATE OF BURIAL: March 31, 1934

20. UNDERTAKER: E. H. Salmon & Son
ADDRESS: Stockdale, Tex 




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Transcription copyright  RoaneTNHistory.org 2008. 
All rights reserved.

Archivists:
Transcription by G. Anne Sloan and C. Sloan.
Scan by Bill Peak.

Other versions (if any):

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