Rootwalker--Death Certificate for (infant) Williams 11-4-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for (infant) WILLIAMS

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 9, Village or City: (blank)
     Reg. Dist. No. 224, Primary Reg. Dist. No. 42209, Reg. No. 19, File No. (blank)
Full Name: (infant) WILLIAMS
Sex: male     Race: white     Marital Status: Single
Date of Birth: 11/3/1917
Age: 25 hrs 40 min.
Occupation: (blank)
Birthplace: Dickson Co.
Name of Father: William James WILLIAMS
Birthplace of Father: Hickman Co.
Maiden Name of Mother: Lillie Maibell HAGOOD
Birthplace of Mother: Dickson Co.
Informant: William James WILLIAMS   Address: D?gwood
Filed: 11/5/1917               J. C. Geurin, Registrar
Date of Death:  11/4/1917
Death occurred at: 2:50 PM
Cause of Death: unknown   Died without med. aid.
Signed by: J. C. Geurin, M. D.       Date: 11/5/1917      Address: Slayden Tenn.
Place of Burial: Pleasant V--------      Date of Burial: 11/5/1917
Undertaker: (blank)      Address: (blank)




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