| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Rob., Civil Dist.: 9th, Village or City: Springfield Reg. Dist.: 752, Primary Reg. Dist.: 27509, Reg. No.: 358 Full Name: Daniel Webster COUTS Sex: Male Race: Negro Marital Status: Married Date of Birth: 11/03/1882 Age: 34 yrs. 8 mos. 5 ds. Occupation: Tobacco Nature of Industry: Laborer Birthplace: Tennessee Name of Father: Joe COUTS Birthplace of Father: Tennessee Maiden Name of Mother: Clara WATKINS Birthplace of Mother: Ky. Informant: Clara Bell COUTS Address: Springfield, Tenn. Filed: 07/09/1917 Frank Bell, Registrar Date of Death: 07/08/1917 The physician attended him from 06/25/1917 to 07/08/1917 and last saw him alive on 07/05/1917 Cause of Death: Carcinoma of Stomach Duration: 15 ds. Signed: S. R. Backell?, M. D. Date: 07/09/1917 Address: Springfield, Tn Place of Burial: Couts B. G. 9th Dist. Date of Burial: 07/09/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |