Genealogy Pages for Northern Middle TN
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Death Certificate for Mary Jane ELLIS

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 9, Village or City: (blank)
     Reg. Dist. No. 224, Primary Reg. Dist. No. 42209, Reg. No. 13, File No. (blank)
Full Name: Mary Jane ELLIS
Sex: Female     Race: white     Marital Status: married
Date of Birth: 4/2/1845
Age: 72 yrs. 3 mos. 17 ds.
Occupation: Housekeeping
Birthplace: Tenn.
Name of Father: (blank)
Birthplace of Father: (blank)
Maiden Name of Mother: Cinthy JOURDEN
Birthplace of Mother: Tenn.
Informant: Mrs. Missouri POTTS   Address: Slayden Tenn.
Filed: 8/20/1917           J. C. Geurin, Registrar
Date of Death:  8/19/1917
The physician attended her from Feb. 1917 to 8/19/1917
     and last saw her alive on 8/18/1917
Death occurred at: 4:49? AM
Cause of Death: Advanced Arteriosclerosis    Contributory: Cardiac Insufficiency
Signed by: J. C. Geurin, M. D.       Date: 8/19/1917      Address: Slayden Tenn.
Place of Burial: Jourden Cemetery      Date of Burial: 8/20/1917
Undertaker: H. E.? Allen      Address: Slayden Tenn.

2001 Vanessa Slea