Rootwalker--Death Certificate for (Mr.) Earley Moore 01-28-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Earley MOORE

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

Place of Death: County: Robertson, Civil Dist.: 15, Village or City: Springfield, Tenn.
     Reg. Dist.: 47515, Reg. No.: 47515, File No.: 128
Full Name: Earley MOORE
Sex: M     Race: W     Marital Status: Married
Date of Birth: 12/20/1889
Age: 28 yrs. 1 mos. 7 ds.
Occupation: Farmer
Birthplace: Robertson Co., Tenn.
Name of Father: Bags MOORE
Birthplace of Father: Robertson Co., Tenn.
Maiden Name of Mother: Fay? SAMLUM?
Birthplace of Mother: Robertson Co., Tenn.
Informant: Elus? MCKISSICK     Address: Springfield, Tenn.
Filed: ?/?/1917     C. K.? Howard, Registrar
Date of Death: 01/28/1917
The physician attended deceased from May 1916 to 02/01/1917
     and last saw him alive on 1917.
Death occurred on date stated above at: 1 AM
Cause of Death: Tuberculosis
Signed: A. C. MOORE, M. D.     01/28/1917      Address: Cross Plains
Place of Burial or Removal: Doss     Date of Burial: 01/28/1917
Undertaker: J. C. Barber & Son     Address: Springfield

 



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