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Genealogy Pages for Northern Middle TN

Death Certificate for Clarence Elvis CLIFTON

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

Place of Death: County: Robertson, Civil Dist. 9, Village or City: Springfield
     Reg. Dist. No. 752, Primary Reg. Dist. No. 27509, Reg. No. 788, File No. (blank)
Full Name: Clarence Elvis CLIFTON
Sex: M     Race: W     Marital Status: Single
Date of Birth: 12/20/1901
Age: 20 yrs. 0 mos. 9 ds.
Occupation: Farm Laborer
Birthplace: Tenn.
Name of Father: William H. CLIFTON
Birthplace of Father: Tenn.
Maiden Name of Mother: Miney H. BUCKLEY
Birthplace of Mother: Tenn.
Informant: W. H. CLIFTON        Address: Springfield
Filed: 1/3/1920                Frank Bell, Registrar
Date of Death:  1/2/1920
The physician attended him from 6/6/1919 to 1/2/1920
     and last saw him alive on 1/1/1920
Death occurred at: 7 AM
Cause of Death: Pulmonary Tuberculosis               Contributory: Same
Signed by: W. W. Porter, M. D.       Date: 1/3/1920       Address: Springfield
Place of Burial: Mt. Sharon      Date of Burial: 1/3/1920
Undertaker: Henry and Bell      Address: Springfield

This page was created in 2001 and was last updated on 01/01/2004.
� 2004 Stan Magnesen