|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist.: 11, Reg. Dist.: 42211,
Reg. No.: 19
Full Name: Mary Rebeca BLACKWELL
Sex: Female Race: White Marital Status: Widow
Date of Birth: 07-29-1831
Age: 84 yrs. 6 mos. 17 ds.
Name of Father: Jack HARRIS
Birthplace of Father: Tenn.
Maiden Name of Mother: Nancy LYNCH
Birthplace of Mother: Tenn.
Informant: Emma BLACKWELL Address: Tenn City, Tenn.
Filed by: L. F. Loggins, Registrar
Date of Death: 02-15-1916
The physician attended her from 02-01-1915 to 02-15-1916
and last saw her alive on 02-15-1916
Death occurred on date above at 4 pm
Cause of Death: Tuberculosis Pulmonary and Spinal Duration: 1 yrs.
Signed by: L. F. Loggins, M. D. Date: 02-16-1916 Address: Ruskin, Tenn.
Place of Burial: Edgewood Date of Burial: 02-16-1916
Undertaker: Taylor & Ingham Address: Dickson, Tenn.