Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 27, Village or City: Milldale Reg. Dist.: 47502, Primary Reg. Dist.: 47502, Reg. No.: 26 Full Name: Elizabeth COUTS Sex: Female Race: Col. Marital Status: married Date of Birth: 10/05/1867 Age: 50 yrs. Occupation: Housewife Birthplace: Tennessee Name of Father: Ellis LUNSFORD Birthplace of Father: Tennessee Maiden Name of Mother: Clara CHAPMAN? Birthplace of Mother: Tennessee Informant: Moody? COUTS Address: Springfield, Tenn. Filed: 10/06/1917 F. P. Kelly, Registrar Date of Death: 10/05/1917 The physician attended her from 09/25/1917 to 10/05/1917 and last saw her alive on 10/05/1917 Death occurred on date above at 4 am Cause of Death: Mitral Regurgitation, Cardiasthenia and Dropsy Duration: 9 mos. Contributory: Chronic Intestinal Nephritis Signed: J. B. Woodruff, M. D. Date: 10/05/1917 Address: Lamont, Tenn. Place of Burial: Bell Cemetery Date of Burial: 10/06/1917 Undertaker: J. C. Barber & son Address: Springfield, Tenn. |