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Genealogy Pages for Northern Middle TN
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Death Certificate for Daniel Webster COUTS

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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.

This page was created on 01/07/2003 and last updated on 01/01/2004.
2004 Stan Magnesen