Rootwalker--Death Certificate for Allen Daniel 3-16-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Allen DANIEL

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

Place of Death: County: Dickson, Civil Dist. 5, Village or City: (blank)
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 37, File No. 37
Full Name: Allen DANIEL
Sex: M     Race: W     Marital Status: Single
Date of Birth: (blank)
Age: 6 yrs.
Occupation: School boy
Birthplace: Tenn.
Name of Father: E. W. DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Agnes NICKS
Birthplace of Mother: Tenn.
Informant: (blank)    Address: (blank)
Filed: 3/17/1917      W. J. Sugg, Registrar
Date of Death: 3/16/1917
The physician attended him from 3/10/1917 to 3/16/1917
     and last saw him alive on 3/16/1917
Death occurred at: 8AM
Cause of Death: Pneumonia following Measles       Duration: 7 ds.
Signed by: W. W. Walker, M. D.       Date: 3/17/1917       Address: Dickson Tenn.
Place of Burial: Dickson       Date of Burial: 3/17/1917
Undertaker: Taylor Bros. & Davis       Address: Dickson




� 2001 Vanessa Slea