Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 2, Village or City: (blank)
Reg. Dist. No. 221, Primary Reg. Dist. No. 2, Reg. No. 63, File No. 63
Full Name: Jim CLIFTON
Sex: M Race: W Marital Status: single
Date of Birth: 7/4/1917
Age: 1 mos.
Birthplace: Tenn. Dickson
Name of Father: Isaac CLIFTON
Birthplace of Father: Tenn.
Maiden Name of Mother: Gertrude LA---- (the rest of last name is illegible)
Birthplace of Mother: Tenn.
Informant: A. J. DONEGAN Address: Dickson
Filed: 8/5/1917 W. J. Sugg, Registrar
Date of Death: 8/4/1917
Death occurred at: (blank)
Cause of Death: unknown No Physician
Signed by: (blank) Date: (blank) Address: (blank)
Place of Burial: Clifton Cemetery Date of Burial: 8/4/1917
Undertaker: Taylor Bros. & Davis Address: Dickson
© 2001 Vanessa Slea