Rootwalker--Death Certificate for Jessie Lee Gaines 02-09-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Jessie Lee GAINES

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

Place of Death: County: Robertson, Civil Dist.: 18, Reg. No.: 396
Full Name: Jessie Lee GAINES
Sex: Fem     Race: Col'd     Marital Status: Single
Date of Birth: 10/16/1900
Age: 16 yrs. 3 mos. 23 ds.
Occupation: Farm Laborer
Birthplace: Tenn.
Name of Father: Jim GAINES
Birthplace of Father: Tenn.
Maiden Name of Mother: Celia MARTIN?
Birthplace of Mother: Tenn.
Informant: Rader? WOODSON     Address: Springfield
Filed: 02/10/1917     Frank Bell, Registrar
Date of Death: 02/09/1917
The physician attended deceased from Dec. 1917  <obvious error>  to 02/09/1917
     and last saw her alive on 02/07/1917
Death occurred on date stated above at: 1 AM
Cause of Death: TB of Lungs     Duration: 6 mos.
Contributory: Measles     Duration: 10 ds.
Signed: R. L. Mathews, M. D.     2/10/1917      Address: Springfield
Place of Burial or Removal: Mt. Olivet Cemetery     Date of Burial: 02/10/1917
Undertaker: Henry & Bell     Address: Springfield, Tenn.

 



This page was created on 12/18/2002 and last updated on 01/01/2004.
� 2004 Stan Magnesen