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Genealogy Pages for Northern Middle TN
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Death Certificate for Thomas FORT

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

Place of Death: County: Robertson, Civil Dist.: 9, Primary Reg. Dist.: 27509
     Village or City: Springfield, Reg. Dist.: 752, Reg. No.: 495
Full Name: Thomas FORT
Sex: Male     Race: Col     Marital Status: Widowed
Date of Birth: Don't know
Age: about 85 yrs.
Occupation: Laborer
Birthplace: Tennessee
Name of Father: Geo Metcalf FORT
Birthplace of Father: Tenn.
Maiden Name of Mother: Su?kye CARR
Birthplace of Mother: Tenn.
Informant: Mary PALMER     Address: Clarksville, Tenn.
Filed: 11/24/1917     Frank Bell, Registrar
Date of Death: 11/24/1917
The physician attended him from 11/17/1917 to 11/24/1917
     and last saw him alive on 11/23/1917
Death occurred on date above at 3:30 am
Cause of Death: Hemorrhage at the lungs     Duration: 6 ds.
     Contributory: Bronchitis & nephritis
Signed: T. Howard Bullard, M. D.     Date: 11/25/1917
     Address: Springfield, Tenn.
Place of Burial: Lendahand     Date of Burial: 11/25/1917
Undertaker: Henry & Bell     Address: Springfield, Tenn.

This page was created on 01/07/2003 and last updated on 01/07/2003.
2003 Vanessa Slea