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Genealogy Pages for Northern Middle TN

Death Certificate for Ellis PRIMM

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

Place of Death: County: Dickson, Civil Dist. 6, Village or City: (blank)
     Reg. Dist. No. 223, Primary Reg. Dist. No. 6, Reg. No. 14, File No. (blank)
Full Name: Ellis PRIMM
Sex: Male     Race: Negro     Marital Status: Single
Date of Birth: 1911
Age: 6 yrs.
Occupation: none
Birthplace: Tenn.
Name of Father: Less PRIMM
Birthplace of Father: Tenn.
Maiden Name of Mother: Fannie BRADLEY
Birthplace of Mother: (blank)
Informant: Harry PRIMM    Address: Charlotte Tenn.
Filed: 6/21/1917       H. E. Larkins, Registrar
Date of Death: 6/20/1917
The physician attended him from 6/1/1917 to 61/1917
     and last saw him alive on 6/1/1917
Death occurred at: 9 AM
Cause of Death: Pellagra                 Duration: Several months
Signed by: L. F. Loggins, M. D.       Date: 6/21/1917      Address: Stayton
Place of Burial: Promise Land      Date of Burial: 6/21/1917
Undertaker: O. R. Leech       Address: Charlotte

� 2001 Vanessa Slea