Rootwalker--Death Certificate for D. E. Bean 10-23-1921

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for D. E. BEAN

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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.

 



This page was created on 12/18/2002 and last updated on 01/01/2004.
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