Genealogy Pages for Northern Middle TN
Death Certificate for Bertha Ann SWAN
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 15, Village or City: Cross Plains Reg. Dist.: 47515, Reg. No.: 47515, File No.: 132 Full Name: Bertha Ann SWAN Sex: Fem Race: White Marital Status: married Date of Birth: 01/03/1883 Age: 34 yrs. 4 mos. 13 ds. Occupation: Housewife Birthplace: Tenn. Name of Father: Conley TATE Birthplace of Father: Tenn. Maiden Name of Mother: Pricella ELLISON <yes spelled Pricella> Birthplace of Mother: Tenn. Informant: W. M. SWAN Address: Cross Plains, Tenn. Filed: 05/16/1917 C. ? Howard, Registrar Date of Death: 05/16/1917 The physician attended deceased from Jan.? 1914 to 05/16/1917 and last saw her alive on 05/16/1917 Death occurred on date stated above at: 5 PM Cause of Death: Pulmonary Tuberculosis Duration: 3 yrs. Signed: J. ? Thomas, M. D. 05/16/1917 Address: Cross Plains Place of Burial or Removal: Mt. Carmel Date of Burial: 05/18/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |