Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Montgomery, Civil Dist.: 4, Reg. Dist. No.: 46414, Primary Reg. Dist. No.: 4 Full Name: Herman Baynham Sex: Male Race: Black Marital Status: Married Date of Birth: June 1897 Age: 19 yrs. 10 mos. Occupation: Farm Laborer Birthplace: Tennessee Name of Father: Frank BAYNHAM Birthplace of Father: Tennessee Maiden Name of Mother: Don't know Birthplace of Mother: Kentucky Informant: Frank Bell Address: R. #1, Woodlawn, Tenn. Filed: 04-20-1916 by: M. L. Shelby, Reg. Date of Death: 04-19?-1916 The physician attended him from 04-11-1916 to 04-19-1916 and last saw him alive on 04-19-1916 Death occurred on date stated above at: 4 pm Cause of Death: Lobar Pneumonia Duration: 9 ds. Signed: M. L. Shelby, M. D. Date: 04-20-1916 Address: Woodlawn, Tenn. Place of Burial: Pleasant Hill Cemetery Date of Burial: 04-20-1916 Undertaker: Nathan Dixon Address: Clarksville, Tenn. |