|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Primary Reg. Dist.: 27509, Reg. Dist.: 752
Village or City: Springfield, Reg. No.: 504
Full Name: Geneva Payne CRICKETT
Sex: F Race: Negro Marital Status: Widowed
Date of Birth: 02/04/1895
Age: 22 yrs. 10 mos. 6 ds.
Name of Father: Will PAYNE
Birthplace of Father: Tenn.
Maiden Name of Mother: Minnie PAYNE
Birthplace of Mother: Tenn.
Informant: Nancy PAYNE Address: Springfield, Tenn.
Filed: 12/20/1917 Frank Bell, Registrar
Date of Death: 12/20/1917
The physician attended her from 09/03/1917 to 12/20/1917
and last saw her alive on 12/20/1917
Death occurred on date above at 8 am
Cause of Death: Intestinal Interitis (tuberculosis) and pulmonary tuberculosis
Duration: 3 mos 17 ds.
Signed: T. Howard Bullard, M. D. Date: 12/20/1917
Place of Burial: Franklin, Ky Date of Burial: 12/21/1917
Undertaker: Henry & Bell Address: Springfield, Tenn.