Genealogy Pages for Northern Middle TN
Death Certificate for Ann SIMPSON
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 16, Village or City: county Poor House, Reg. Dist.: 752, Primary Reg. Dist.: 47516, Reg. No.: 403 Full Name: Ann SIMPSON Sex: female Race: colored Marital Status: widow Date of Birth: 02/02/1850 Age: 67 yrs. 1 mos. 1 ds. Occupation: House keeper Birthplace: Tennessee Name of Father: Niles? ELLIOT Birthplace of Father: Tennessee Maiden Name of Mother: Nancy KING Birthplace of Mother: Tennessee Informant: W. J.? FRYER Address: Springfield, Tenn. Filed: 03/05/1917 Frank Bell, Registrar Date of Death: 03/03/1917 The physician attended deceased from 01/01/1917 to 02/29/1917 and last saw her alive on 02/29/1917 Death occurred on date stated above at: 9 AM Cause of Death: Dropsy Signed: W. W. Porter, M. D. 03/03/1917 Address: Springfield, Tenn. Place of Burial or Removal: County B. G. Date of Burial: 03/05/1917 Undertaker: (blank) |