Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 8, Village or City: (blank)
Reg. Dist. No. 42208, Primary Reg. Dist. No. 42208, Reg. No. 27, File No. (blank)
Full Name: Mabel Ozee? BALLARD
Sex: Female Race: White Marital Status: Single
Date of Birth: 7/20/1917
Age: 2 mos. 16 ds.
Name of Father: Clovace? BALLARD
Birthplace of Father: Tenn.
Maiden Name of Mother: Gracy MORRIS
Birthplace of Mother: Tenn.
Informant: Clovace? BALLARD Address: Cumb Fce Tenn.
Filed: 10/6/1917 W. M. Cunningham, Registrar
Date of Death: 10/6/1917
The physician attended her from 10/5/1917 to 10/6/1917
andlast saw her alive on 10/5/1917
Death occurred at: 4:40 AM
Cause of Death: Malnutrition Due to being a Bottle Fed Baby
Signed by: W. M. Cunningham, M. D. Date: 10/6/1917 Address: Cumberland Fce
Place of Burial: Suggs Grave yd Date of Burial: 10/6/1917
Undertaker: Clovace? Ballard Address: Cumb Fce Tenn.
© 2001 Vanessa Slea