Genealogy Pages for Northern Middle TN
Death Certificate for Effie LEWIS
Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 5, Village or City: Dickson
Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 45, File
No. 45
Full Name: Effie LEWIS
Sex: F Race: C Marital Status: Married
Date of Birth: 8/25/1879
Age: 37 yrs.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Kinch MARSH?
Birthplace of Father: Tenn.
Maiden Name of Mother: Annie HOLT
Birthplace of Mother: Tenn.
Informant: Columbia LEWIS Address: Dickson
Filed: (blank) W. J. Sugg, Registrar
Date of Death: 4/28/1917
Death occurred at: (blank)
Cause of Death: Tuberculosis No Physician
Signed by: (blank) Date:
(blank) Address: (blank)
Place of Burial: Dickson Date of Burial: 4/30/1917
Undertaker: Taylor Bros. & Davis Address: Dickson
� 2001 Vanessa Slea