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Genealogy Pages for Northern Middle TN

Death Certificate for Jeremiah LONG

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

Place of Death: County: Dickson, Civil Dist. 6, Village or City: (blank)
     Reg. Dist. No. 223, Primary Reg. Dist. No. 6, Reg. No. 23, File No. (blank)
Full Name: Jeremiah LONG
Sex: Male     Race: Black     Marital Status: single
Date of Birth: 3/25/1916
Age: 1 yrs. 5 mos. 23 ds.
Occupation: none
Birthplace: Tenn.
Name of Father: Dick LONG
Birthplace of Father: Tenn.
Maiden Name of Mother: Maggie DICKSON
Birthplace of Mother: Tenn.
Informant: Dick LONG   Address: Charlotte Tenn.
Filed: 9/12/1917           H. E. Larkins, Registrar
Date of Death:  9/12/1917
Death occurred at: 1:30 PM
Cause of Death: Probably Tuberculosis    No Physician in charge
     Contributory: starvation
Signed by: H. E. Larkins, M. D.       Date: 9/12/1917      Address: Charlotte Tenn.
Place of Burial: Charlotte Tenn.      Date of Burial: 9/12?/1917
Undertaker: O. R. Leech      Address: Charlotte Tenn.

� 2001 Vanessa Slea