Genealogy Pages for Northern Middle TN
Death Certificate for Albert COUTS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Reg. Dist.: 752 Village or City: Beards Chapel, Primary Reg. Dist.: 47509, Reg. No.: 347 Full Name: Albert COUTS Sex: Male Race: Negro Marital Status: Widowed Date of Birth: 1847 Age: 70 yrs. Occupation: Farming Birthplace: Tennessee Name of Father: John COUTS Birthplace of Father: Tennessee Maiden Name of Mother: Eadie COUTS Birthplace of Mother: Tennessee Informant: Jordan COUTS Address: Springfield, Tenn. R. R. #16 Filed: 06/28/1917 Frank Bell, Registrar Date of Death: 06/27/1917 The physician attended him from 06/01/1917 to 06/27/1917 and last saw him alive on 06/27/1917 Death occurred on date above at 3:00 am Cause of Death: Carcinoma of Stomach Signed: S. R. Backell?, M. D. Date: 07/12/1917 Address: Springfield, Tn Place of Burial: Robertson Co. Date of Burial: 06/28/1917 Undertaker: H. L Hunt Address: Springfield, Tenn. |