Genealogy Pages for Northern Middle TN
Death Certificate for Jennie MCCLAIN
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 4, Reg. Dist.: 47504, File No.: 2 Full Name: Jennie MCCLAIN Sex: Female Race: Colored Marital Status: Married Date of Birth: 05/02/1885 <birth/death dates and age disagree> Age: 32 yrs. 9 mos. 28 ds. Occupation: Domestic Birthplace: Tennessee Name of Father: M. C. MILLER Birthplace of Father: Tennessee Maiden Name of Mother: Julia RICHARDSON Birthplace of Mother: Tennessee Informant: M. C. MILLER Address: Springfield, Tenn. Filed: 02/03/1917 R. S. Poor, Registrar Date of Death: 01/30/1917 The physician attended her from 01/28/1917 to 01/30/1917 and last saw her alive on 01/30/1917 Death occurred on date stated above at: 12:20 PM Cause of Death: Acute Nephritis Duration: 2 ds. Contributory: Lagrippe Duration: 4 ds. Signed: F. W. Lee, M. D. 01/31/1917 Address: Springfield, Tenn. Place of Burial or Removal: Fairview, Tenn. Date of Burial: 01/21/1917 Undertaker: H. L. Hurt & Co. Address: Springfield, Tenn. |