|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Houston, Civil Dist.: 4, Village or City: Erin, Tenn.
Reg. Dist.: 421, Primary Reg. Dist.: 4, Registered No.: 31
Full Name: Anna DORTCH
Sex: Female Race: Affrican <their spelling> Marital Status: widowed
Date of Birth: Don't know
Age: about 80 yrs.
Occupation: House keeper
Birthplace: Don't know
Name of Father: Don't know
Birthplace of Father: Don't know
Maiden Name of Mother: Don't know
Birthplace of Mother: Don't know
Informant: Bell DICKSON Address: Erin, Tenn.
Filed: 11/27/1917 J. W. Reynolds, Registrar
Date of Death: 11/26/1917
The physician attended deceased from 11/22/1917 to 11/26/1917
and last saw her alive on 11/25/1917
Cause of Death: Uraemia? Duration: not known
Contributory: Heart Failure Duration: start indefinite
Signed: J. S. Edwards, M. D. 11/27/1917 Address: Erin, Tenn.
Place of Burial or Removal: Owl Hollow B. G. Date of Burial: 11/27/1917
Undertaker: Bell Dickson Address: Erin, Tenn.