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Genealogy Pages for Northern Middle TN
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Death Certificate for (stillborn) DAVIS

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

Place of Death: County: Dickson, Civil Dist. 5, Village or City: Dickson
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 74, File No. 74
Full Name: (stillborn) DAVIS
Sex: male     Race: negro     Marital Status: single
Date of Birth: 12/26/1917
Age: (blank)
Occupation: died
Birthplace: Dickson Tenn.
Name of Father: Aron DAVIS
Birthplace of Father: Dickson County
Maiden Name of Mother: Inez LARKINS
Birthplace of Mother: Charlotte Tenn.
Informant: Aron DAVIS        Address: Dickson Tenn.
Filed: 12/26/1917                W. J. Sugg, Registrar
Date of Death:  12/26/1917
The physician attended him from 12/26/1917 to 12/26/1917
     and last saw him alive on 12/26/1917
Death occurred at: 6 AM
Cause of Death: Premature Birth
Signed by: N. Miles, M. D.       Date: 12/26/1917       Address: Dickson Tenn.
Place of Burial: Dickson      Date of Burial: 12/27/1917
Undertaker: (illegible)      Address: (blank)




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