| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 7, Reg. Dist.: 47507, File No.: 38 Full Name: Cora Myrtle HEAD Sex: Female Race: White Marital Status: Married Date of Birth: 05/18/1878 Age: 38 yrs. 8 mos. 27 ds. Occupation: House Wife Birthplace: Tenn. Name of Father: George E. LAWRANCE Birthplace of Father: Tenn. Maiden Name of Mother: Addie Addline GARNER Birthplace of Mother: Tenn. Informant: Hubert NICHOLS Address: Adams, Tenn. R#1 Filed: 02/15/1917 W. A. Royster, Registrar Date of Death: 02/15/1917 The physician attended deceased from 08/01/1916 to 02/14/1917 and last saw her alive on 02/14/1917 Death occurred on date stated above at: 2 AM Cause of Death: Pellagra Signed: T. I. Gardner, M. D. Address: Adams?, Tenn. Place of Burial or Removal: Head Church Date of Burial: 02/16/1917 Undertaker: Jim Allen Address: Port Royal |