Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 13, Village or City: (blank)
Reg. Dist. No. 42213, Primary Reg. Dist. No. 13, Reg. No. 4, File
No. (blank)
Full Name: (infant) BUCKNER ?
Sex: Fem Race: (illegible) Marital Status: S
Date of Birth: 5/9/1917
Age: 1 ds.
Occupation: (blank)
Birthplace: Tennessee
Name of Father: Earnest BUCKNER ?
Birthplace of Father: Tennessee
Maiden Name of Mother: Nannie ADAMS
Birthplace of Mother: Tennessee
Informant: R. A. WRIGHT Address: Tenn. City
Filed: 5/11/1917 J. H. (illegible), Registrar
Date of Death: 5/10/1917
The physician attended her from 5/7/1917 to (blank)
and last saw her alive on 5/7/1917
Death occurred at: 10 AM
Cause of Death: was not ride from Birth
Signed by: W. J. Suggs, M. D. Date:
5/11/1917 Address: Dickson Tenn.
Place of Burial: Alicia? Williams Date of Burial: 5/11/1917
Undertaker: (blank) Address: (blank)
� 2001 Vanessa Slea