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Genealogy Pages for Northern Middle TN
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Death Certificate for Zara BROIL

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

Place of Death: County: Robertson, Civil Dist.: 16, Primary Reg. Dist.: 47516
     Village or City: County Poor House, Reg. Dist.: 752, Reg. No.: 502
Full Name: Zara BROIL
Sex: female     Race: colord     Marital Status: Married
Date of Birth: 04/02/1881
Age: 36 yrs. 8 mos. 7 ds.
Occupation: House Keeper
Birthplace: Tennessee
Name of Father: unknown
Birthplace of Father: unknown
Maiden Name of Mother: unknown
Birthplace of Mother: unknown
Informant: W. Z. FRYER     Address: Springfield R1
Filed: 12/15/1917     Frank Bell, Registrar
Date of Death: 12/09/1917
The physician last saw her alive on 12/07/1917
Death occurred on date above at: Don't Know
Cause of Death: Froze
Signed: W. W. Porter, M. D.     Date: 12/11/1917     Address: Springfield, Tenn.
Place of Burial: Poor House     Date of Burial: 12/10/1917
Undertaker: None     Address: (blank)

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