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. |