|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
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.