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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) BAKER

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
     Reg. Dist. No. (blank), Primary Reg. Dist. No. 42211, Reg. No. (blank), File No. (blank)
Full Name: (stillborn) BAKER
Sex: Girl     Race: White     Marital Status: (blank)
Date of Birth: 8/5/1917
Age: (blank)
Occupation: (blank)
Birthplace: Tenn.
Name of Father: Vester BAKER
Birthplace of Father: Tenn.
Maiden Name of Mother: Maidir? EDWARDS
Birthplace of Mother: Tenn.
Informant: Henry EDWARDS   Address: Sylvia Tenn.
Filed: 8/8/1917           Dr. J. F. Hunt, Registrar
Date of Death:  8/5/1917
Death occurred at: (blank)
Cause of Death: Still Born   Premature
Signed by: (blank)       Date: (blank)      Address: (blank)
Place of Burial: Maple Grove Cemetery      Date of Burial: 8/6/1917
Undertaker: none      Address: (blank)

© 2001 Vanessa Slea