Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Mrs. Hettie ADAMS

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

Place of Death: County: Robertson, Civil Dist.: 8, Village or City: Cedar Hill, Tenn.
     Primary Reg. Dist.: 751, Reg. No.: 4
Full Name: Mrs. Hettie ADAMS
Sex: Female     Race: White     Marital Status: Widow
Date of Birth: 05/08/1878
Age: 38 yrs. 10 mos. 17 ds.
Occupation: House-Keeper
Birthplace: Tenn.
Name of Father: THOMPSON
Birthplace of Father: Tenn.
Maiden Name of Mother: (blank)
Birthplace of Mother: (blank)
Informant: T. T. TRAUGHBER?     Address: Springfield, Tenn.
Filed: 04/13/1917     Mrs. Addie Ruffin, Registrar      J. F. R.
Date of Death: 04/03/1917
The physician attended deceased from 1917 to 04/03/1917
     and last saw her alive on 03/20/1917
Death occurred on date stated above at: 8 PM
Cause of Death: Pulmonary Tuberculosis     Duration: 4 yrs. 3 mos. 20 ds.
Signed: B. B. Sory?, M. D.     04/04/1917      Address: Cedar Hill, Tenn.
Place of Burial or Removal: C. H.     Date of Burial: 04/04/1917
Undertaker: (blank)

 



This page was created on 12/18/2002 and last updated on 01/01/2004.
2004 Stan Magnesen