Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Houston, Civil Dist.: 3, Reg. Dist.: 44203 Primary Reg. Dist.: 3, Registered No.: 10 Full Name: Mrs. Jane BROWN Sex: Female Race: White Marital Status: Married Date of Birth: 07/30/1833 Age: 84 yrs. 16 ds. Occupation: House work Birthplace: Tennessee Name of Father: Daniel MCDANIEL Birthplace of Father: North Carolina? Maiden Name of Mother: Betsy WILSON Birthplace of Mother: Tennessee Informant: J. L. BROWN Address: Tennessee Ridge Filed by: W. A. OGuin Date of Death: 08/15/1917 The physician attended her from about 2 years to 08/30/1917 and last saw her alive on 08/20/1917 Death occurred on date stated above at: 5 AM Cause of Death: Cardiac Arthma? Duration: 2 yrs. and over Contributory: Cardiac Arthma? Signed: H--- Bumble, M. D. or W. H. McMillan, M. D. 08/30/1917 Address: Erin, Tenn. Place of Burial or Removal: Louis branch Date of Burial: 08/16/1917 Undertaker: C. C. Cook Address: Erin, Tenn. |