| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 12th, Reg. Dist.: 47512 Village or City: Ridgetop Tenn., Primary Reg. Dist.: 12th, Reg. No.: 24 Full Name: Lillie Bell ADCOCK Sex: Female Race: White Marital Status: single Date of Birth: 02/25/1917 Age: 6 mos. Birthplace: Tenn. Name of Father: Tom ADCOCK Birthplace of Father: Tenn. Maiden Name of Mother: Bessie May REAVES Birthplace of Mother: Tenn. Informant: Tom? REAVES Address: Ridgetop Tenn. Filed: 07/28/1917 Maude Briggs, Registrar Date of Death: 07/27/1917 Death occurred on date above at pm? Cause of Death: Congestion Signed: Dr. T. L. Johnson, M. D. Date: 07/28/1917 Address: Greenbrier, Tenn. Place of Burial: Spring Hill Date of Burial: 07/28/1917 Undertaker: R. G. Gleaves Address: Greenbrier, Tenn. |