State of Tennessee
Bureau of Vital Statistics
Certificate of Death #280
 

1. Place of death -- County: Hamblen, Civil Dist.: , Registration District: 321, File number: 280, Village or City: Morristown, Tenn. (Morristown General Hospital), Primary Registration District No.: 23201, Registered no.: 90.
2. Full name -- Ruby P. Bryan
3. Sex -- Female
4. Color or race -- White
5. Single, married, widowed, or divorced -- Married
6. Date of birth -- July 18, 1903
7. Age -- 22 yrs, 0 mos., 21 ds.
8. Occupation -- a) Trade, profession, or particular kinds of work .... Domestic  b) General nature of business, or establishment in which employed....
9. Birthplace -- Tenn.
10. Name of father -- G.J. Cox
11. Birthplace of father -- Tenn.
12. Maiden name of mother -- Loretta Nichols
13. Birthplace of mother -- Tenn.
14. The above is true to the best of my knowledge (Informant) signed E.O. Bryan, ( address) Morristown, Tenn.
15. Filed -- 8/10, 1925  Belle Fort, Registrar
16. Date of death -- Aug 9, 1925
17. I hereby certify that I attended deceased from July 30, 1925 to Aug 8, 1925 and that I last saw her alive on Aug 8, 1925, and that death occurred on the date stated above at 130 am.  The cause of death was as follows:  Thrombosis of lateral sinnus.  (Duration) ___ yrs.____ mos. 10 ds.  Contributory  Chronic suppurative middle ear  (duration) 18 yrs. ___ mos. ___ ds.  Signed S M Ryburn, M.D., 8/10, 1925, Morristown, Tenn
18. Length of residence --
19. Place of burial or removal -- Wesleys Chapel, Date of burial: Aug 10, 1925
20. Undertaker -- H. Stetzer Und. Co., Address: Morristown, Tenn.