Genealogy Pages for Northern Middle TN
Death Certificate for Fannie MOORE
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Village or City: Springfield Reg. Dist.: 752, Primary Reg. Dist.: 27509, Reg. No.: 332 Full Name: Fannie MOORE Sex: female Race: Colored Marital Status: Widowed Date of Birth: 04/14/1881 Age: 36 yrs. 1 mos. 1 ds. Occupation: Domestic Birthplace: Tennessee Name of Father: West ARMSTRONG Birthplace of Father: Tennessee Maiden Name of Mother: Phylis PAYNE Birthplace of Mother: Tennessee Informant: Mrs. Ophelia JONES Address: Springfield, Tenn. Filed: 05/15/1917 Frank Bell, Registrar Date of Death: 05/14/1917 The physician attended deceased from 04/28/1917 to 05/14/1917 and last saw her alive on 05/14/1917 Death occurred on date stated above at: 5:30 -M Cause of Death: Peritonitis Duration: 17 ds. Signed: S. R. Blackwell, M. D. 05/15/1917 Address: Springfield, Tenn. Place of Burial or Removal: Robertson County Date of Burial: 05/15/1917 Undertaker: H. L. Hurt & Co. Address: Springfield, Tenn. |