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