| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 13, Reg. Dist.: 753, Reg. No.: 1 Primary Reg. Dist.: 47513 Full Name: Male Race: White Marital Status: Married Date of Birth: 06/08/1840 Age: 76 yrs. 8 mos. 11 ds. Occupation: Retired Farmer Birthplace: Kentucky Name of Father: Micheal KELLER <yes spelled Micheal> Birthplace of Father: Kentucky Maiden Name of Mother: Elizabeth JOHNSON Birthplace of Mother: Tennessee Informant: J. M. KELLER Address: Springfield, Tenn. Filed: 02/19/1917 J. M. Keller, Registrar Date of Death: 02/19/1917 The physician attended deceased from 02/17/1917 to 02/19/1917 and last saw him alive on 02/19/1917 Death occurred on date stated above at: 10:40 AM Cause of Death: Uremic Poison Signed: Dr. Woodruff, M. D. 02/19/1917 Address: Pleasant View Place of Burial or Removal: Springfield Date of Burial: 02/20/1917 Undertaker: J. F. Bidwell Address: Pleasant View, Tenn. |