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. 38, File No. 38
Full Name: (stillborn) DAVIS
Sex: male Race: negro Marital Status: Single
Date of Birth: 3/28/1917
Age: 4 1/2 mos.
Occupation: still born
Birthplace: Dickson, Tenn.
Name of Father: Reese DAVIS
Birthplace of Father: Dickson County
Maiden Name of Mother: Ivey LARKIN
Birthplace of Mother: Dickson County
Informant: Reese DAVIS Address: Dickson, Tenn.
Filed: 3/29/1917 W. J. Sugg, Registrar
Date of Death: 3/28/1917
The physician attended him from 3/28/1917 to 3/28/1917
and last saw him still born 3/28/1917
Death occurred at: 8 AM
Cause of Death:Mis-Carriage Duration: 4 1/2 mos.
Contributory: some accident
Signed by: N. Miles, M. D. Date: 3/28/1917 Address: Dickson Tenn.
Place of Burial: (blank) Date of Burial: (blank)
Undertaker: (blank) Address: (blank)
© 2001 Vanessa Slea