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Genealogy Pages for Northern Middle TN
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Death Certificate for William B. FOUNTAIN

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

Place of Death: County: Robertson, Civil Dist.: 19th, Reg. Dist.: 752
     Village or City: Springfield, Primary Reg. Dist.: 27509, Reg. No.: 351
Full Name: William B. FOUNTAIN
Sex: Male     Race: Negro     Marital Status: Single
Date of Birth: 09/12/1896
Age: 20 yrs. 9 mos. 14 ds.
Occupation: Tobacco Factory Laborer
Birthplace: Rob. Co.
Name of Father: Frank FOUNTAIN
Birthplace of Father: Tenn.
Maiden Name of Mother: Frances TOWSEND
Birthplace of Mother: Tenn.
Informant: Frank FOUNTAIN     Address: Springfield, Tenn.
Filed: 06/26/1917     Frank Bell, Registrar
Date of Death: 06/26/1917
The physician attended him from 04/1917 to 06/25/1917
     and last saw him alive on 06/25/1917
Cause of Death: Tuberculosis Lungs     Duration: 4 mos.
Signed: R. L Mathews, M. D.     Date: 06/27/1917     Address: Springfield, Tn
Place of Burial: Elm Grove     Date of Burial: 06/27/1917
Undertaker: Henry & Bell     Address: Springfield, Tenn.

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