|Following is a transcription of the above
person's (TN) death certificate:
Place of Death: County: Robertson, Civil Dist.: 9th, Primary Reg. Dist.: 47509
Reg. Dist.: 752, Reg. No.: 366?
Full Name: Sarah Elizabeth DAVIS
Sex: Fem Race: col Marital Status: married
Date of Birth: Don't know
Age: About 28 yrs.
Name of Father: Dan JOHNSON
Birthplace of Father: Tenn.
Maiden Name of Mother: Jennie BOWER
Birthplace of Mother: Tenn.
Informant: Ed DAVIS Address: Springfield, Tenn.
Filed: 08/01/1917 Frank Bell, Registrar
Date of Death: 08/03/1917
The physician attended her from 06?/1917 to 08/02/1917
and last saw her alive on 08/02/1917
Cause of Death: Pellegra Duration: 3 mos.
Signed: R. L. Mathews, M. D. Date: 08/04/1917 Address: Spring field
Place of Burial: Near Oakland Date of Burial: 08/04/1917
Undertaker: Henry & Bell Address: Frank Bell