Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 5, Village or City: (blank)
Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 37, File No. 37
Full Name: Allen DANIEL
Sex: M Race: W Marital Status: Single
Date of Birth: (blank)
Age: 6 yrs.
Occupation: School boy
Name of Father: E. W. DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Agnes NICKS
Birthplace of Mother: Tenn.
Informant: (blank) Address: (blank)
Filed: 3/17/1917 W. J. Sugg, Registrar
Date of Death: 3/16/1917
The physician attended him from 3/10/1917 to 3/16/1917
and last saw him alive on 3/16/1917
Death occurred at: 8AM
Cause of Death: Pneumonia following Measles Duration: 7 ds.
Signed by: W. W. Walker, M. D. Date: 3/17/1917 Address: Dickson Tenn.
Place of Burial: Dickson Date of Burial: 3/17/1917
Undertaker: Taylor Bros. & Davis Address: Dickson
© 2001 Vanessa Slea