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Genealogy Pages for Northern Middle TN

Death Certificate for Ellen GEURIN (or GUINN ?)

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

Place of Death: County: Dickson, Civil Dist. 8, Village or City: (blank)
     Reg. Dist. No. 42208, Primary Reg. Dist. No. 42208, Reg. No. 7, File No. (blank)
Full Name: Ellen GEURIN (or GUINN ?)
Sex: Female     Race: Black     Marital Status: Single
Date of Birth: 10/20/19?9          (third digit of year is smudged)
Age: 8 yrs. 5 mos. 17 ds.
Occupation: Child
Birthplace: Cumberland Furnace Tenn.
Name of Father: Tom MI???N       (difficult to interpret)
Birthplace of Father: Cumb Fce Tenn.
Maiden Name of Mother: Ni?te Guinn?          (difficult to interpret)
Birthplace of Mother: Cumb Fce Tenn.
Informant: Camden GEURIN (or GUINN ?)    Address: Cumberland Fce Tenn.
Filed:5/4/1917       W. M. Cunningham, Registrar
Date of Death: 5/30/1917
The physician attended her from 1/22/1917 to 5/30/1917
     and last saw her alive on 5/30/1917
Death occurred at: 3 PM
Cause of Death: Endo-Carditis Comp. by abdominal ascilus?
     Contributory: Lagrippe
Signed by: W. M. Cunningham, M. D.       Date: 5/3/1917      Address: Cumberland Fce Tenn.
Place of Burial: Cumberland Fce Tenn.      Date of Burial: 6/4/1917
Undertaker: G. C. Collins       Address: Dickson Tenn.

� 2001 Vanessa Slea