|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Civil Dist.: 27, Village or City: Milldale
Reg. Dist.: 47502, Primary Reg. Dist.: 47502, Reg. No.: 26
Full Name: Elizabeth COUTS
Sex: Female Race: Col. Marital Status: married
Date of Birth: 10/05/1867
Age: 50 yrs.
Name of Father: Ellis LUNSFORD
Birthplace of Father: Tennessee
Maiden Name of Mother: Clara CHAPMAN?
Birthplace of Mother: Tennessee
Informant: Moody? COUTS Address: Springfield, Tenn.
Filed: 10/06/1917 F. P. Kelly, Registrar
Date of Death: 10/05/1917
The physician attended her from 09/25/1917 to 10/05/1917
and last saw her alive on 10/05/1917
Death occurred on date above at 4 am
Cause of Death: Mitral Regurgitation, Cardiasthenia and Dropsy
Duration: 9 mos.
Contributory: Chronic Intestinal Nephritis
Signed: J. B. Woodruff, M. D. Date: 10/05/1917 Address: Lamont, Tenn.
Place of Burial: Bell Cemetery Date of Burial: 10/06/1917
Undertaker: J. C. Barber & son Address: Springfield, Tenn.