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Genealogy Pages for Northern Middle TN
Death Certificate for Maggie BOURNE
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 4th, Reg. Dist.: 47504 File No.: 14 Full Name: Maggie BOURNE Sex: Female Race: White Marital Status: Married Date of Birth: 03/27/1882 Age: 35 yrs. 8 mos. 6 ds. Occupation: Housekeeper Birthplace: Ky Name of Father: John RUSSELL Birthplace of Father: Ky Maiden Name of Mother: Alice MILLER Birthplace of Mother: Ky Informant: Martin BOURNE Address: Springfield, Tenn. Filed: 01/01/1918 R. A. Poor, Registrar Date of Death: 11/03/1917 The physician attended her from 09/27/1917 to 09/27/1917 and last saw her alive on 09/27/1917 Death occurred on date above at 1:05 pm Cause of Death: Pellegra Signed: R. L. Mathews, M. D. Date: 11/05/1917 Address: Spg. Tenn. Place of Burial: Dripping Springs Date of Burial: 11/04/1917 Undertaker: Springfield Furn. Co. Address: city |