|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Houston, Civil Dist.: 5, Village or City: Erin, Tenn.
Reg. Dist.: 44205, Primary Reg. Dist.: 5, Registered No.: 1
Full Name: Sallie BREEDEN
Sex: female Race: White Marital Status: widowed
Date of Birth: 01/24/1837
Age: 80 yrs. 7 mos. 18 ds.
Occupation: Farmer's wife
Birthplace: Houston Co.
Name of Father: Jim BREEDEN
Birthplace of Father: Houston Co.
Maiden Name of Mother: Fannie ALSOBROOKS
Birthplace of Mother: Houston Co.
Informant: J. T. WALKER Address: Erin, Tenn.
Filed: 08/06/1917 D. T. Walker, Registrar
Date of Death: 07/07/1917
Cause of Death: unknown cause of Death. No physician in attendance.
Signed: D. T. Walker, reg. 08/20/1917 Address: Erin, Tenn.
Place of Burial or Removal: Cedar Hill Cem. Date of Burial: 07/08/1917
Undertaker: J. C. Burwell? Address: Erin, Tenn.