Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
Reg. Dist. No. (blank), Primary Reg. Dist. No. 42211, Reg. No. 11, File No. (blank)
Full Name: C. H. ADAIR
Sex: male Race: white Marital Status: single
Date of Birth: 7/13/1859
Age: 58 yrs. 1 mos. 18 ds.
Name of Father: Andrew M. ADAIR
Birthplace of Father: Tenn.
Maiden Name of Mother: Emily PA?EN
Birthplace of Mother: Tenn.
Informant: A. J. ADAIR Address: Tenn. City
Filed: 9/8/1917 Dr. J. F. Hunt, Registrar
Date of Death: 8/31/1917
The physician attended him from 7/28/1917 to 8/30/1917
and last saw him alive on 8/29/1917
Death occurred at: 6 PM
Cause of Death: Brights Disease Duration: Don't Know
Signed by: O. N. Moody, M. D. Date: 9/1/1917 Address: Tenn. City Tenn.
Place of Burial: Edgewood Date of Burial: 9/1/1917
Undertaker: Taylor Bros. Address: Dickson
© 2001 Vanessa Slea