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Genealogy Pages for Northern Middle TN
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Death Certificate for Herman Baynham

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Montgomery, Civil Dist.: 4, Reg. Dist. No.: 46414,
   Primary Reg. Dist. No.: 4
Full Name: Herman Baynham
Sex: Male     Race: Black     Marital Status: Married
Date of Birth: June 1897
Age: 19 yrs. 10 mos.
Occupation: Farm Laborer
Birthplace: Tennessee
Name of Father: Frank BAYNHAM
Birthplace of Father: Tennessee
Maiden Name of Mother: Don't know
Birthplace of Mother: Kentucky
Informant: Frank Bell     Address: R. #1, Woodlawn, Tenn.
Filed: 04-20-1916     by: M. L. Shelby, Reg.
Date of Death: 04-19?-1916

The physician attended him from 04-11-1916 to 04-19-1916
   and last saw him alive on 04-19-1916
Death occurred on date stated above at: 4 pm
Cause of Death: Lobar Pneumonia     Duration: 9 ds.
Signed: M. L. Shelby, M. D.     Date: 04-20-1916     Address: Woodlawn, Tenn.
Place of Burial: Pleasant Hill Cemetery     Date of Burial: 04-20-1916
Undertaker: Nathan Dixon     Address: Clarksville, Tenn.

This page was created in 2000 and last updated on 01/01/2004.
2004 Stan Magnesen