|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Houston, Civil Dist.: 3, Reg. Dist.: 44203
Primary Reg. Dist.: 3, Registered No.: 10
Full Name: Mrs. Jane BROWN
Sex: Female Race: White Marital Status: Married
Date of Birth: 07/30/1833
Age: 84 yrs. 16 ds.
Occupation: House work
Name of Father: Daniel MCDANIEL
Birthplace of Father: North Carolina?
Maiden Name of Mother: Betsy WILSON
Birthplace of Mother: Tennessee
Informant: J. L. BROWN Address: Tennessee Ridge
Filed by: W. A. OGuin
Date of Death: 08/15/1917
The physician attended her from about 2 years to 08/30/1917
and last saw her alive on 08/20/1917
Death occurred on date stated above at: 5 AM
Cause of Death: Cardiac Arthma? Duration: 2 yrs. and over
Contributory: Cardiac Arthma?
Signed: H--- Bumble, M. D. or W. H. McMillan, M. D.
08/30/1917 Address: Erin, Tenn.
Place of Burial or Removal: Louis branch Date of Burial: 08/16/1917
Undertaker: C. C. Cook Address: Erin, Tenn.