Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 10, Village or City: (blank)
Reg. Dist. No. 224, Primary Reg. Dist. No. 422??, Reg. No. 3, File No. (blank)
Full Name: John BAILEY
Sex: Male Race: White Marital Status: Married
Date of Birth: 1/3/1829
Age: 88 yrs. 15 ds.
Name of Father: (blank)
Birthplace of Father: (blank)
Maiden Name of Mother: (blank)
Birthplace of Mother: (blank)
Informant: (blank) Address: (blank)
Filed: 1/19/1917 J. C. Geurin, Registrar
Date of Death: 1/18/1917
The physician attended him from 1/17/1917 to 1/17/1917
and last saw him alive on 1/17/1917
Death occurred at: 3AM
Cause of Death: Pneumonia Artero-Sclerosis Duration: 3 ds.
Contributory: Artero-Sclerosis Secondary: Extreme Age
Signed by: A. C. Dickson, M. D. Date: 1/19/1917 Address: Van Leer Tenn
Place of Burial: Waynick Cemetery Date of Burial: 1/19/1917
Undertaker: Ingham? Sparkman & Shannon Address: Cumberland City Tenn.
© 2001 Vanessa Slea