Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 12, Village or City: (blank)
Reg. Dist. No. 225, Primary Reg. Dist. No. 1214, Reg. No. (blank), File No. (blank)
Full Name: (stillborn) ASHWORTH
Sex: Male Race: White Marital Status: Single
Date of Birth: 6/30/1917
Age: 0 mins.
Birthplace: Dickson Co.
Name of Father: Absolem Nicks ASHWORTH
Birthplace of Father: Dickson Co. Tenn.
Maiden Name of Mother: Willie NORMAN
Birthplace of Mother: Davidson Co. Tenn.
Informant: A. N. ASHWORTH Address: White Bluff Tenn.
Filed: 6/30/1917 Jas. A. Venable, Registrar
Date of Death: 6/30/1917
Death occurred at: (blank)
Cause of Death: Premature Birth
Signed by: Jas. A. Venable, M. D. Date: 6/30/1917 Address: White Bluff, Tenn.
Place of Burial: Jackson Graveyard Date of Burial: 7/1/1917
Undertaker: J. H. West Address: White Bluff
© 2001 Vanessa Slea