|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Civil Dist.: 6, Village or City: Adams
Reg. Dist.: 47506, Primary Reg. Dist.: 6, File No.: 76
Full Name: Mary Cathrine DAVIS
Sex: female Race: white Marital Status: married
Date of Birth: 01/24/1879
Age: 38 yrs.
Name of Father: George W. OGG
Birthplace of Father: Tenn.
Maiden Name of Mother: Lucie J. HAWSON
Birthplace of Mother: Tenn.
Informant: G. W. OGG Address: Adams
Filed: 10/20/1917 E. W. Robertson, Registrar
Date of Death: 10/16/1917
The physician attended her from 07/01/1917 to 10/15/1917
and last saw her alive on 10/15/1917
Death occurred on date above at 4 am
Cause of Death: Tuberculosis Duration: one yrs.
Signed: J. R. Connell, M. D. Date: 10/20/1917 Address: Adams, Tenn.
Place of Burial: Adams Date of Burial: 10/17/1917
Undertaker: E. W. Robertson & Co. Address: Adams