Rootwalker--Death Certificate for Elizabeth Couts 10-05-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Elizabeth COUTS

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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.



This page was created on 01/07/2003 and last updated on 01/01/2004.
� 2004 Stan Magnesen