|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Civil Dist.: 9, Reg. Dist.: 752, Reg. No.: 330
Primary Reg. Dist.: 47509
Full Name: Mrs. Mary Stark COUTS
Sex: F Race: Wh Marital Status: married
Date of Birth: 05/27/1876
Age: 40 yrs. 11 mos. 5 ds.
Name of Father: William Harrison STARK
Birthplace of Father: Tenn.
Maiden Name of Mother: Sarah George MOULTON
Birthplace of Mother: Tenn.
Informant: Mrs. Sarah STARK Address: Springfield, Tenn.
Filed: 05/03/1917 Frank Bell, Registrar
Date of Death: 05/02/1917
The physician attended deceased about Oct. 1916 to 05/01/1917
and last saw her alive on 05/01/1917
Death occurred on date stated above at: (blank) AM
Cause of Death: Cancer of Liver
Signed: W. W. Porter, M. D. 05/03/1917 Address: Springfield, Tenn.
Place of Burial or Removal: Elmwood Cemetery Date of Burial: 05/03/1917
Undertaker: Henry & Bell Address: Springfield, Tenn.