Genealogy Pages for Northern Middle TN
Death Certificate for H. C. THOMAS
Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 4, Village or City: (blank)
Reg. Dist. No. 222, Primary Reg. Dist. No. (blank), Reg. No.
(blank), File No. 4
Full Name: H. C. THOMAS
Sex: Male Race: White Marital Status:
widowed
Date of Birth: 1836
Age: 79 yrs.
Occupation: farmer
Birthplace: Tenn.
Name of Father: Jno. Thomas
Birthplace of Father: Tenn.
Maiden Name of Mother: Delila DAVIDSON
Birthplace of Mother: Tenn.
Informant: relative of family Address: Burns
Filed:6/1/1917 Mrs. J. E. Mathis, Registrar
Date of Death: 5/19/1917
Death occurred at: (blank)
Cause of Death: died suddenly of heart failure and was unattended by physician
Signed by: (blank) Date:
(blank) Address: (blank)
Place of Burial: family burying ground Date of Burial: 1917
Undertaker: James Johnson Address: Burns
� 2001 Vanessa Slea