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Genealogy Pages for Northern Middle TN
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Death Certificate for William DAVIS

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

Place of Death: County: Robertson, Civil Dist.: 5, Reg. Dist.: 751, Reg. No.: 29
Full Name: William DAVIS
Sex: M     Race: Negro     Marital Status: Single
Date of Birth: 04/25/1895
Age: 22 yrs. 6 mos. 24 ds.
Occupation: Farm Laborer
Birthplace: Tenn.
Name of Father: Ed GILL
Birthplace of Father: Tenn.
Maiden Name of Mother: Sarah JOHNSON
Birthplace of Mother: Tenn.
Informant: Ed DAVIS     Address: Springfield, Tenn.
Filed: 11/21?/1917     Mrs. Addie Ruffin, Registrar
Date of Death: 11/18/1917
The physician attended him from 06/1917 to 07/1917
     and last sawh im alive on 06/21/1917
Death occurred on date above at 4 pm
Cause of Death: Tuberculosis of Lungs     Duration: 8 mos.
     Contributory: Measles     Duration: 10 ds.
Signed: R. L. Mathews, M. D.     Date: 11/19/1917     Address: Springfield
Place of Burial: (blank)     Date of Burial: 11/19/1917
Undertaker: Henry & Bell     Address: (blank)

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