Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Clay, Civil Dist.: 2, Reg. Dist.: 41402, File No.: 193 Primary Reg. Dist.: 2, Reg. No.: 19 Full Name: D. E. BEAN Sex: Male Race: White Marital Status: Single Date of Birth: 11/14/1917? Age: 3 yrs. 11 mos. Birthplace: Tenn. Name of Father: Frank BEAN Birthplace of Father: Tenn. Maiden Name of Mother: Mary SNIDER Birthplace of Mother: Tenn. Informant: Frank BEAN Address: Hermitage Springs Filed: 12/15/1921 Jas. W. Bean, Registrar Date of Death: 10/23/1921 The physician last saw him alive on 10/24/1921 Cause of Death: diphtheria Duration: 8 ds. Signed: Jesse T.? Smith, M. D. 10/24/1921 Address: Gamaliel, Ky. Place of Burial or Removal: Browning Cemetery Date of Burial: 10/24/1921 Undertaker: B W Chitwood Address: Red B. Springs, Tenn. |