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Genealogy Pages for Northern Middle TN
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Death Certificate for Mrs. Mary Stark COUTS

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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.
Occupation: Housewife
Birthplace: Tenn.
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.


This page was created on 12/18/2002
and last updated on 12/18/2002.

2002 Vanessa Slea