|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.