Rootwalker--Death Certificate for Geneva Payne Crickett 12-20-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for Geneva Payne CRICKETT

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

Place of Death: County: Robertson, Primary Reg. Dist.: 27509, Reg. Dist.: 752
     Village or City: Springfield, Reg. No.: 504
Full Name: Geneva Payne CRICKETT
Sex: F     Race: Negro     Marital Status: Widowed
Date of Birth: 02/04/1895
Age: 22 yrs. 10 mos. 6 ds.
Occupation: Housewife
Birthplace: Tenn.
Name of Father: Will PAYNE
Birthplace of Father: Tenn.
Maiden Name of Mother: Minnie PAYNE
Birthplace of Mother: Tenn.
Informant: Nancy PAYNE     Address: Springfield, Tenn.
Filed: 12/20/1917     Frank Bell, Registrar
Date of Death: 12/20/1917
The physician attended her from 09/03/1917 to 12/20/1917
     and last saw her alive on 12/20/1917
Death occurred on date above at 8 am
Cause of Death: Intestinal Interitis (tuberculosis) and pulmonary tuberculosis
     Duration: 3 mos 17 ds.
Signed: T. Howard Bullard, M. D.     Date: 12/20/1917
     Address: Springfield
Place of Burial: Franklin, Ky     Date of Burial: 12/21/1917
Undertaker: Henry & Bell     Address: Springfield, Tenn.



This page was created on 01/07/2003 and last updated on 01/01/2004.
� 2004 Stan Magnesen