Rootwalker--Death Certificate for C. H. Adair 8-31-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for C. H. ADAIR

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

Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
     Reg. Dist. No. (blank), Primary Reg. Dist. No. 42211, Reg. No. 11, File No. (blank)
Full Name: C. H. ADAIR
Sex: male     Race: white     Marital Status: single
Date of Birth: 7/13/1859
Age: 58 yrs. 1 mos. 18 ds.
Occupation: farmer
Birthplace: Tenn.
Name of Father: Andrew M. ADAIR
Birthplace of Father: Tenn.
Maiden Name of Mother: Emily PA?EN
Birthplace of Mother: Tenn.
Informant: A. J. ADAIR   Address: Tenn. City
Filed: 9/8/1917           Dr. J. F. Hunt, Registrar
Date of Death:  8/31/1917
The physician attended him from 7/28/1917 to 8/30/1917
     and last saw him alive on 8/29/1917
Death occurred at: 6 PM
Cause of Death: Brights Disease            Duration: Don't Know
Signed by: O. N. Moody, M. D.       Date: 9/1/1917      Address: Tenn. City Tenn.
Place of Burial: Edgewood      Date of Burial: 9/1/1917
Undertaker: Taylor Bros.      Address: Dickson




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