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Genealogy Pages for Northern Middle TN
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Death Certificate for (infant) BUCKNER ?

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

Place of Death: County: Dickson, Civil Dist. 13, Village or City: (blank)
     Reg. Dist. No. 42213, Primary Reg. Dist. No. 13, Reg. No. 4, File No. (blank)
Full Name: (infant) BUCKNER ?
Sex: Fem     Race: (illegible)     Marital Status: S
Date of Birth: 5/9/1917
Age: 1 ds.
Occupation: (blank)
Birthplace: Tennessee
Name of Father: Earnest BUCKNER ?
Birthplace of Father: Tennessee
Maiden Name of Mother: Nannie ADAMS
Birthplace of Mother: Tennessee
Informant: R. A. WRIGHT    Address: Tenn. City
Filed: 5/11/1917       J. H. (illegible), Registrar
Date of Death: 5/10/1917
The physician attended her from 5/7/1917 to (blank)
     and last saw her alive on 5/7/1917
Death occurred at: 10 AM
Cause of Death: was not ride from Birth
Signed by: W. J. Suggs, M. D.       Date: 5/11/1917      Address: Dickson Tenn.
Place of Burial: Alicia? Williams      Date of Burial: 5/11/1917
Undertaker: (blank)       Address: (blank)




2001 Vanessa Slea