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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.
25, File No. (blank)
Full Name: Clara WEAKLEY
Sex: Female Race: Negro Marital Status:
Single
Date of Birth: 2/25/1914
Age: 3 yrs. 7 mos. 8 ds.
Occupation: none Nature of Industry:
none
Birthplace: Tenn.
Name of Father: Clarence WEAKLEY
Birthplace of Father: Tenn.
Maiden Name of Mother: D. CUNNINGHAM
Birthplace of Mother: Tenn.
Informant: ? CUNNINGHAM Address: Charlotte Tenn.
Filed: 10/17/1917 H. E.
Larkins, Registrar
Date of Death: 10/16/1917
The physician attended her from 10/5/1917 to 10/16/1917
andlast saw her alive on 10/16/1917
Death occurred at: 3 PM
Cause of Death: acute bronchitis
Duration: 11 ds.
Contributory: Chronic Bronchitis
Duration: 2 yrs.
Signed by: A. G. Castleman, M. D. Date:
10/17/1917 Address: Charlotte Tenn.
Place of Burial: Promise Land Date of Burial: 10/17/1917
Undertaker: (blank) Address: (blank)
� 2001 Vanessa Slea