Genealogy Pages for Northern Middle TN
Death Certificate for (infant) HAYGOOD
Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No.
20, File No. (blank)
Full Name: (infant) HAYGOOD
Sex: Male Race: White Marital Status: S
Date of Birth: 10/6/1917
Age: 2 hrs.
Occupation: (blank)
Birthplace: Tenn.
Name of Father: Will HAYGOOD
Birthplace of Father: Tenn.
Maiden Name of Mother: (blank)
Birthplace of Mother: Mary HOLLAND
(Note from Vanessa: Mary's name written in the birthplace was an error on the death cert.)
Informant: Will HAYGOOD Address: Sylvia Tenn.
Filed: 11/8/1917 J. F. Hunt,
Registrar
Date of Death: 10/6/1917
The physician last saw him alive on 10/6/1917
Death occurred at: (blank)
Cause of Death: Premature
Signed by: Dr. O. N. Moody, M. D. Date:
11/10/1917 Address: Tenn. City
Place of Burial: (blank) Date of Burial: 10/7/1917
Undertaker: (blank) Address: (blank)
� 2001 Vanessa Slea