Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 12, Village or City: White Bluff Tenn.
Reg. Dist. No. 225, Primary Reg. Dist. No. 1214, Reg. No. 31, File No. (blank)
Full Name: Minerve? Sarkins? ASHWORTH
Sex: Male Race: White Marital Status: Married
Date of Birth: 4/12/1857
Age: 66 yrs. 7 mos. 7 ds.
Birthplace: Dickson Co. Tenn.
Name of Father: Ely ASHWORTH
Birthplace of Father: Tenn.
Maiden Name of Mother: Serena HICKERSON
Birthplace of Mother: Tenn.
Informant: Mrs. Setitia ASHWORTH Address: White Bluff Tenn.
Filed: 11/20/1917 Jas. A. Venable, Registrar
Date of Death: 11/19/1917
The physician attended him from 10/30/1917 to 11/19/1917
and last saw him alive on 11/15/1917
Death occurred at: 5 AM
Cause of Death: Mitral Regurgitation
Signed by: Jas. A. Venable, M. D. Date: 11/20/1917 Address: White Bluff Tenn.
Place of Burial: Jackson Grave Yard Date of Burial: 20
Undertaker: H. F. Baker Address: White Bluff Tenn.
© 2001 Vanessa Slea