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Genealogy Pages for Northern Middle TN

Death Certificate for Carl Lester MALLARY

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

Place of Death: County: Dickson, Civil Dist. 6, Village or City: (blank)
     Reg. Dist. No. (blank), Primary Reg. Dist. No. (blank), Reg. No. 27, File No. (blank)
Full Name: Carl Lester MALLARY
Sex: male     Race: negro     Marital Status: single
Date of Birth: Don't know
Age: Don't know
Occupation: Farmer         Nature of Industry: Farming
Birthplace: Robertson Co.
Name of Father: Will MALLARY
Birthplace of Father: Montgomery Co.
Maiden Name of Mother: Lou ELLIOTT
Birthplace of Mother: Montgomery Co.
Informant: E.? Z. Washington           Address: Dickson Tenn RFD#4
Filed: 11/15/1917               H. E. Larkins, Registrar
Date of Death:  11/14/1917
The physician attended him from July 1917 to Nov. 1917
     and last saw him alive on Nov. 1917
Death occurred at: 8 PM
Cause of Death: Edema of the glottis? from acute nephritis
     Contributory: acute nephritis
Signed by: Hartwell Weaver, M. D.       Date: 11/12/1917      Address: Dickson Tenn.
Place of Burial: Hortense      Date of Burial: 11/15/1917
Undertaker: G. C. Collins & Son      Address: Dickson Tenn.

� 2001 Vanessa Slea