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Genealogy Pages for Northern Middle TN
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Death Certificate for Cave Johnson ADAMS

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Following is a transcription of the above person's (TN) death certificate:

Reg. No.: 18, Reg. Dist. No.: 44303
Full Name: Cave Johnson ADAMS
Date of Death: 05-25-1940
Place of Death: County: Humphreys, Civil Dist.: 3rd, City or Town: Rural
   Length of Stay in Community: Life
Legal Residence: State: Tenn., County: Humphreys, Civil Dist.: 3rd,
   City or Town: Dickson R3
Race: W     Sex: M     Marital Status: Widowed
Age: 88 yrs 2 mos. 25 ds.
Date of Birth: 03-01-1852
Place of Birth: County: Dickson, State: Tenn.
Husband of: Joan STREET
If Veteran Name of War: (blank)
Social Security No.: (blank)
Usual Occupation: Farmer
Name of Father: Ben ADAMS
Birthplace of Father: Unknown
Maiden Name of Mother: Nancy REYNOLDS
Birthplace of Mother: Unknown
Informant: H. J. ADAMS     Address: Dickson, Tenn. R3
Burial, Cremation, or Removal: Burial     Date of Burial: 05-26-1940
Cemetery: Edgewood     Place: Dickson
Undertaker: Fowlkes Und. Co.     Address: Waverly, Tenn.
Date filed: 06-14-1940     by Mrs. Gladys Williams, Registrar
The physician attended him from 04-29-1940 to (blank)
   and last saw him alive on 04-29-1940
Death occurred on date above at: 12:30 pm
Cause of Death: Chronic myocarditis not rheumatic
   Other Conditions: Chronic nephritis
Signature: W. A. Bell, M. D.     Address: Vanleer     Date: 06-01-1940

This page was created on 02/14/2003 and last updated on 01/01/2004.
2004 Stan Magnesen