Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Jane BLACKMORE?

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

Place of Death: County: Robertson, Civil Dist.: 11, Reg. Dist.: 47411?, Reg. No.: 40
Full Name: Jane BLACKMORE?
Sex: Female     Race: Col.     Marital Status: married
Date of Birth: 11/18/1852
Age: 64 yrs. 1 mos. 12 ds.
Occupation: House keeping
Birthplace: Tenn.
Name of Father: (blank)
Birthplace of Father: (blank)
Maiden Name of Mother: (blank)
Birthplace of Mother: (blank)
Informant: (blank)
Filed: 2/1917   <no day given>     H. B. Wilkinson, Registrar
Date of Death: 01/19/1917
The physician attended deceased from 12/10/1916? to Jan. 1917
     and last saw her alive on Jan. 1917
Death occurred on date stated above at: 8 AM
Cause of Death: Tuberculosis of lungs     Duration: 6 mos.
Signed: R. O. Barry     <no date given>      Address: White House, Tenn.
Place of Burial or Removal: Estes Cem.     Date of Burial: 01/20/1917
Undertaker: H. B. Wilkinson     Address: White House

 



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