|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
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)