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Genealogy Pages for Northern Middle TN

Death Certificate for Mrs. Ethel Eugene LEWIS

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

Place of Death: County: Dickson, Civil Dist. 7, Village or City: (blank)
     Reg. Dist. No. 42207, Primary Reg. Dist. No. 42207, Reg. No. 11, File No. (blank)
Full Name: Mrs. Ethel Eugene LEWIS
Sex: Female     Race: White     Marital Status: married
Date of Birth: 12/13/1894
Age: 22 yrs. 10 mos. 0 ds.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Jack TRAVIS
Birthplace of Father: Tenn.
Maiden Name of Mother: Susie TRAVIS
Birthplace of Mother: Tenn.
Informant: Early LEWIS   Address: Cheap-Hill Tenn. R#2
Filed: 9/15/1917           N. D. Duke, Registrar
Date of Death:  9/13/1917
The physician attended her from 9/9/1917 to 9/13/1917
     and last saw her alive on 9/13/1917
Death occurred at: 11:30 PM
Cause of Death: Toxemia of Pregnancy about the 7 mo. -
     (saw her on 4th Day after beginning of sickness)           Duration: 8 ds.
Signed by: W. M. Cunningham, M. D.       Date: 9/14/1917      Address: Cumberland Fce Tenn.
Place of Burial: Jackson Chapel      Date of Burial: 9/14/1917
Undertaker: N. D. Duke      Address: Cheap Hill

� 2001 Vanessa Slea