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Genealogy Pages for Northern Middle TN

Death Certificate for Cubemiae? PRIMM

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

Place of Death: County: Dickson, Civil Dist. 5, Village or City: (blank)
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 66, File No. 66
Full Name: Cubemiae? PRIMM
Sex: Female     Race: negro     Marital Status: single
Date of Birth: 1905
Age: 12 yrs.
Occupation: Child
Birthplace: Cumberland Ter. Tenn.
Name of Father: Wash? PRIMM
Birthplace of Father: Tenn.
Maiden Name of Mother: Fannie Bradley
Birthplace of Mother: Tenn.
Informant: Lisa? PRIMM   Address: Dickson Tenn.
Filed: 9/13/1917           W. J. Sugg, Registrar
Date of Death:  9/13/1917
The physician attended her from 9/10/1917 to 9/10/1917
     and last saw her alive on 9/10/1917
Death occurred at: 12 noon
Cause of Death: Pellagra          Duration: indefinite time           Contributory: ill nourished
Signed by: N. Miles, M. D.       Date: 9/13/1917      Address: Dickson Tenn.
Place of Burial: Promise Land, Tenn.      Date of Burial: 9/14/1917
Undertaker: Taylor Bros. & Davis      Address: Dickson

� 2001 Vanessa Slea