Rootwalker--Death Certificate for Mrs. Ada Stewart 2-15-1917

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Death Certificate for Mrs. Ada STEWART

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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.




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