Genealogy Pages for Northern Middle TN
Death Certificate for Dary Della BOOTH
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 17, Reg. Dist.: 47517 Primary Reg. Dist.: 17, Reg. No.: 4 Full Name: Dary Della BOOTH Sex: Female Race: Mulatto Marital Status: married Date of Birth: 08/12/1847 Age: 70 yrs. 5 ds. Occupation: House wife Birthplace: Todd Co., Ky Name of Father: Chas. TERRY Birthplace of Father: Todd Co., Ky Maiden Name of Mother: Dary Della TERRY Birthplace of Mother: Todd Co., Ky Informant: Edmon BOOTH Address: Adams, Tenn. Filed: 09/29/1917 Mrs. Bryant Murphey, Registrar Date of Death: 08/17/1917 The physician attended her from 07/01/1917 to 08/17/1917 and last saw her alive on 08/17/1917 Death occurred on date above at 11 pm Cause of Death: Valvular disease of heart & Chronic Nephritis Duration: 12 mos. Signed: W. T. Young, M. D. Date: 08/17/1917 Address: Allensville, Ky Place of Burial: Family B. Graves Date of Burial: 08/20/1917 Undertaker: E. W. Robertson & Co. Address: Adams, Tenn. |