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Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 8, Village or City: (blank)
Reg. Dist. No. 42208, Primary Reg. Dist. No. 42208, Reg. No. 2,
File No. (blank)
Full Name: Mrs. Ada STEWART
Sex: Female Race: White Marital Status:
Single
Date of Birth: 1/21/1882
Age: 35 yrs. 0 mos. 19 ds.
Occupation: House wife
Birthplace: Tenn.
Name of Father: W. D. OWEN
Birthplace of Father: Tenn.
Maiden Name of Mother: Sallie E. WILSON(?)
Birthplace of Mother: Tenn.
Informant: Luther STEWART Address: Cumb. Fce. Tenn.
Filed: 2/16/1917 W. M. Cunningham, Registrar
Date of Death: 2/15/1917
The physician attended her from 3/8/1916 to 2/15/1917
and last saw her alive on 2/10/1917
Death occurred at: 3PM
Cause of Death: Pulmonary Tuberculosis of Lungs
Duration: 12 mos.
Signed by: W. M. Cunningham, M. D. Date: 2/15/1917
Address: Cumberland Fce
Place of Burial: Rock Spring Church Date of Burial:
2/16/1917
Undertaker: J. S. Scott Address: Stayton Tenn.
� 2001 Vanessa Slea