Rootwalker--Death Certificate for Ella Brack 06-11-1917

Rootwalker
Genealogy Pages for Northern Middle TN
line1.jpg (824 bytes)
Death Certificate for Ella BRACK

backdeathbutton.png (1643 bytes)

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

Place of Death: County: Houston, Civil Dist.: 1, Village or City: Stewart,
     Reg. Dist.: 44201, Primary Reg. Dist.: 1, File No.: 13
Full Name: Ella BRACK
Sex: Female     Race: White     Marital Status: married
Date of Birth: 05/02/1873
Age: 44 yrs. 1 mos. 9 ds.
Occupation: Housewife
Birthplace: Houston Co.
Name of Father: James TRIPLETT
Birthplace of Father: Tenn.
Maiden Name of Mother: Susan TRIPLETT
Birthplace of Mother: Tenn.
Informant: W. O. BRACK     Address: Stewart, Tenn.
Filed: 10/21/1917     A. S. Weaver, Registrar
Date of Death: 06/11/1917
The physician attended deceased from March 1917 to 06/10/1917
     and last saw her alive on 06/10/1917
Cause of Death: Pellagra     Duration: 2 yrs.
Signed: O. K. Womack, M. D.     10/18/1917      Address: McKinnon, Tenn.
Place of Burial or Removal: Summers Cemetery     Date of Burial: 06/02/1917
Undertaker: G. Saterwhite?     Address: Erin, Tenn.

 



This page was created on 08/20/2001 and last updated on 01/01/2004.
� 2004 Stan Magnesen