Genealogy Pages for Northern Middle TN
Death Certificate for Ann WOODARD
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Primary Reg. Dist.: 27509 Village or City: Springfield, Reg. Dist.: 752, Reg. No.: 362 Full Name: Ann WOODARD Sex: female Race: Negro Marital Status: Widowed Date of Birth: 01/10/1868 Age: 49 yrs. 6 mos. 9 ds. Occupation: Laundry Work Birthplace: Tennessee Name of Father: Jack WOODARD Birthplace of Father: Virginia Maiden Name of Mother: Ann COUTS Birthplace of Mother: Tennessee Informant: Ben WOODARD Address: Springfield, Tenn. Filed: 07/20/1917 Frank Bell, Registrar Date of Death: 07/19/1917 The physician attended her from 06/15/1917 to 07/19/1917 and last saw her alive on 07/19/1917 Death occurred on date above at 8 pm Cause of Death: Carcinoma of Jaw Duration: 1 yrs. 2 mos. Signed: H. S. Shoulders, M. D. Date: 07/20/1917 Address: Springfield, Tenn. Place of Burial: Lendahand Date of Burial: 07/20/1917 Undertaker: H. L. Hunt & Co. Address: Springfield, Tenn. |