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Genealogy Pages for Northern Middle TN

Death Certificate for John BAILEY

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

Place of Death: County: Dickson, Civil Dist. 10, Village or City: (blank)
     Reg. Dist. No. 224, Primary Reg. Dist. No. 422??, Reg. No. 3, File No. (blank)
Full Name: John BAILEY
Sex: Male     Race: White     Marital Status: Married
Date of Birth: 1/3/1829
Age: 88 yrs. 15 ds.
Occupation: Farmer
Birthplace: (blank)
Name of Father: (blank)
Birthplace of Father: (blank)
Maiden Name of Mother: (blank)
Birthplace of Mother: (blank)
Informant: (blank)     Address: (blank)
Filed: 1/19/1917     J. C. Geurin, Registrar
Date of Death: 1/18/1917
The physician attended him from 1/17/1917 to 1/17/1917
     and last saw him alive on 1/17/1917
Death occurred at: 3AM
Cause of Death: Pneumonia      Artero-Sclerosis           Duration: 3 ds.
     Contributory: Artero-Sclerosis        Secondary: Extreme Age
Signed by: A. C. Dickson, M. D.       Date: 1/19/1917       Address: Van Leer Tenn
Place of Burial: Waynick Cemetery        Date of Burial: 1/19/1917
Undertaker: Ingham? Sparkman & Shannon        Address: Cumberland City Tenn.

� 2001 Vanessa Slea