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Genealogy Pages for Northern Middle TN
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Death Certificate for Matilda BOISAN?

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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
     Village or City: Springfield, Primary Reg. Dist.: 27509, Reg. No.: 343
Full Name: Matilda BOISAN?

Sex: Female     Race: Col.     Marital Status: married
Date of Birth: 04/24/1884
Age: 22 yrs. 1 mos. 29 ds.
Occupation: Housekeeper     Nature of Industry: Housework
Birthplace: Robertson Co., Tenn.
Name of Father: Carroll BELL
Birthplace of Father: Robertson Co., Tenn.
Maiden Name of Mother Izabel HUGHES
Birthplace of Mother: Robertson Co., Tenn.
Informant: Dan BOISAN?     Address: Springfield, Tenn.
Filed: 06/23/1917     Frank Bell, Registrar
Date of Death: 06/22/1917
The physician attended her from 04/19/1917 to 06/22/1917
     and last saw her alive on 05/23/1917
Death occurred on date above at 4 pm
Cause of Death: Pulmonary tuberculosis     Duration: 1 yrs.
Signed: B. F. Fykes, M. D.     Date: 06/22/1917     Address: Springfield
Place of Burial: Robertson Co. Mt. Olive Ch.     Date of Burial: 06/23/1917
Undertaker: H. L Hunt & Co.     Address: Springfield, Tenn.



This page was created on 01/07/2003 and last updated on 01/07/2003.
2003 Vanessa Slea