|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Clay, Civil Dist.: 2, Reg. Dist.: 41402, File No.: 193
Primary Reg. Dist.: 2, Reg. No.: 19
Full Name: D. E. BEAN
Sex: Male Race: White Marital Status: Single
Date of Birth: 11/14/1917?
Age: 3 yrs. 11 mos.
Name of Father: Frank BEAN
Birthplace of Father: Tenn.
Maiden Name of Mother: Mary SNIDER
Birthplace of Mother: Tenn.
Informant: Frank BEAN Address: Hermitage Springs
Filed: 12/15/1921 Jas. W. Bean, Registrar
Date of Death: 10/23/1921
The physician last saw him alive on 10/24/1921
Cause of Death: diphtheria Duration: 8 ds.
Signed: Jesse T.? Smith, M. D. 10/24/1921 Address: Gamaliel, Ky.
Place of Burial or Removal: Browning Cemetery Date of Burial: 10/24/1921
Undertaker: B W Chitwood Address: Red B. Springs, Tenn.