Rootwalker
Genealogy Pages for Northern Middle TN

Death Certificate for Irvin Elbert HAYNES

Click HERE to return to the Death Records Page

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. 14, File No. (blank)
Full Name: Irvin Elbert HAYNES
Sex: Male     Race: White     Marital Status: Single
Date of Birth: 9/13/1912
Age: 4 yrs. 7 mos. 21 ds.
Occupation: (blank)
Birthplace: Tenn.
Name of Father: William HAYNES
Birthplace of Father: Tenn.
Maiden Name of Mother: Florence DAVIDSON
Birthplace of Mother: Tenn.
Informant: H. D. Allen   Address: Slayden
Filed: 9/12?/1917           J. C. Geurin, Registrar
Date of Death:  9/4/1917
The physician attended him from 9/1/1917 to 9/3/1917
     and last saw him alive on 9/3/1917
Death occurred at: (blank)
Cause of Death: Diptheria             Duration: 8 ds.
Signed by: J. W. Brake, M. D.       Date: 9/13/1917      Address: Cumb. Fce. Tenn.
Place of Burial: Smith Cem      Date of Burial: 9/6/1917
Undertaker: H. D. Allen      Address: Slayden

� 2001 Vanessa Slea