Genealogy Pages for Northern Middle TN
Death Certificate for Irene JONES
Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 8, Village or City: (blank)
Reg. Dist. No. 42208, Primary Reg. Dist. No. 42208, Reg. No. 30,
File No. (blank)
Full Name: Irene JONES
Sex: Female Race: White Marital Status:
Single
Date of Birth: 6/22/1917
Age: 5 yrs. 5 mos.
(Note from Vanessa: I realize the dates and age don't agree. The error was
on the death certificate.)
Occupation: child
Birthplace: Tenn.
Name of Father: Kirk JONES
Birthplace of Father: Tenn.
Maiden Name of Mother: Francie WALL ?
Birthplace of Mother: Tenn.
Informant: Kirk JONES Address:
Cumberland Fce Tenn.
Filed: 11/22/1917
W. M. Cunningham, Registrar
Date of Death: 11/21/1917
The physician attended her from 11/16/1917 to 11/21/1917
and last saw her alive on 11/21/1917
Death occurred at: 6 AM
Cause of Death: Burns Comp. by Toxemia
Accident Fell in open fire place
Signed by: G. G. Cannon, M. D. Date:
11/22/1917 Address: Cumberland Fce
Place of Burial: Family Buring Ground Date of Burial:
11/22/1917
Undertaker: Speight Nicks & Co. Address: Stayton Tenn.
� 2001 Vanessa Slea