Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Houston, Civil Dist.: 1, Village or City: McKinnon, Tenn. Reg. Dist.: 44201, Primary Reg. Dist.: 1, Registered No.: 2 Sex: Man Race: African Marital Status: Widowed Date of Birth: unknown Age: 95 yrs. unknown Occupation: none Birthplace: unknown Name of Father: unknown Birthplace of Father: unknown Maiden Name of Mother: unknown Birthplace of Mother: unknown Informant: Horace ASKEW Address: McKinnon, Tenn. Filed: 03/02/1918 A. F. Weaver, Registrar Date of Death: 12/14/1917 The physician attended deceased from 12/14/1917 to (blank) and last saw him alive on 12/14/1917 Death occurred on date stated above at: 10 PM Cause of Death: Old Age Caused by Lagrippe (illegible) Dr. (illegible) he did not see him only prescribed medicine. Signed: A. F. Weaver and O. K. Womack, M. D. 02/26/1918 Address: McKinnon, Tenn. Place of Burial or Removal: McKinnon, Tenn. Date of Burial: 12/15/1917 Undertaker: (blank) |