Rootwalker--Death Certificate for Alfred Lane 8-1-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Alfred LANE

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

Place of Death: County: Dickson, Civil Dist. 13, Village or City: Tenn. City
     Reg. Dist. No. 42213, Primary Reg. Dist. No. 13, Reg. No. 6, File No. (blank)
Full Name: Alfred LANE
Sex: Male     Race: White     Marital Status: widowed
Date of Birth: 8/12/1837
Age: 80 yrs. 11 mos. 20 ds.
Occupation: farmer
Birthplace: Tenn.
Name of Father: William LANE
Birthplace of Father: Virginia
Maiden Name of Mother: Polly JOHNSON
Birthplace of Mother: Virginia
Informant: William LANE   Address: Tenn. City Tenn.
Filed: 8/2/1917           J. H. Abercrombie, Registrar
Date of Death:  8/1/1917
I gave him (illegible) a (illegible) 1916
     and last saw him alive on May 1917
Death occurred at: 6 PM
Cause of Death: Old age and diarrhea          Diarrhea for over 2 years
Signed by: Albert S. Corbin, M. D.       Date: 8/2/1917      Address: Tenn. City Tenn.
Place of Burial: Eno Church      Date of Burial: 8/2/1917
Undertaker: (blank)      Address: (blank)




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