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Genealogy Pages for Northern Middle TN
Death Certificate for Roy AVERITT
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Houston, Civil Dist.: 8, Reg. Dist.: 44208 Primary Reg. Dist.: 8, File No.: 5 Full Name: Roy AVERITT Sex: M Race: W Marital Status: Single Date of Birth: 04/21/1898 Age: 19 yrs. 4 mos. 9 ds. Occupation: Farmer Birthplace: Tenn., Houston Co. Name of Father: C. O. AVERITT Birthplace of Father: Tenn., Houston Co. Maiden Name of Mother: Biddie SMITH Birthplace of Mother: Tenn., Humphreys Co. Informant: Claiburn AVERITT Address: Erin, Tenn. R # 13? Filed: 09/15/1917 M. H.? Moore, Registrar Date of Death: 08/30/1917 The physician attended the deceased from 07/31/1917 to 08/30/1917 and last saw him alive on 08/30/1917 Death occurred on date stated above at: 1? AM Cause of Death: Typhoid Fever Duration: 31 ds. Contributory: Co???lict from typhoid infection Signed: M. D. Boone, M. D. 08/30/1917 Address: Erin, Tenn. Length of Residence at place of death: 17 yrs., 4 mos., 9 ds. Length of Residence in the state: 20? yrs. Where was disease contracted if not at place of death? near Tennessee Ridge Place of Burial or Removal: Cedar Hill Cemetery Date of Burial: 08/31/1917 Undertaker: C. C. Cook Address: Erin, Tenn. |