![]()
Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 13, Village or City: (blank)
Reg. Dist. No. 42213, Primary Reg. Dist. No. 13, Reg. No. 8, File
No. (blank)
Full Name: Elija HEATH
Sex: male Race: white Marital Status:
widowed
Date of Birth: age unknow but about
Age: 64 yrs.
Occupation: farmer
Birthplace: Tenn.
Name of Father: (blank)
Birthplace of Father: (blank)
Maiden Name of Mother: Thene? BURGESS
Birthplace of Mother: Tenn.
Informant: Jno HEATH Address: Tenn.
City Tenn.
Filed: 11/23/1917
J. H. Abercrombie, Registrar
Date of Death: 11/23/1917
The physician attended him from 11/21/1917 to 11/22/1917
and last saw him alive on 11/22/1917
Death occurred at: 6 AM
Cause of Death: Pellagra
Duration:
4 mos.
Signed by: Albert S. Corbin, M. D. Date:
11/23/1917 Address: Tenn. City Tenn.
Place of Burial: Hurricane Creek Date of Burial: 11/23/1917
Undertaker: (blank) Address: (blank)
� 2001 Vanessa Slea