Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 7, Village or City: (blank)
Reg. Dist. No. 42207, Primary Reg. Dist. No. 42207, Reg. No. 7, File No. (blank)
Full Name: Moanica? COLLIER
Sex: Male Race: Black Marital Status: widowed
Date of Birth: 6/12/1857 (difficult to read)
Age: 60 yrs.
Birthplace: Dickson Co.Tenn.
Name of Father: Archie COLLIER
Birthplace of Father: Virginia
Maiden Name of Mother: Julie BELL (difficult to read)
Birthplace of Mother: Tenn.
Informant: Martha COLLIER Address: Cheap hill Tenn.
Filed:6/12/1917 N. D. Duke, Registrar
Date of Death: 6/12/1917
The physician attended him from 6/6/1917 to 6/12/1917
and last saw him alive on 6/10/1917
Death occurred at: (blank)
Cause of Death: Chronic Nepl------ Duration: 6 mos.
Signed by: G. H. Harding, M. D. Date: 6/12/1917 Address: Cheap hill Tenn.
Place of Burial: Mt. Zion Date of Burial: 6/13/1917
Undertaker: N. D. Duke Address: Cheaphill Tenn.
© 2001 Vanessa Slea