Genealogy Pages for Northern Middle TN
Death Certificate for John Madell? MOSS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 11, Reg. Dist.: 47511 Reg. No.: 46? Full Name: John Madell? MOSS Sex: Male Race: White Marital Status: married Date of Birth: 10/23/1878 Age: 40 yrs. 0 mos. 16 ds. Occupation: Farmer Birthplace: Tenn. Name of Father: Robert MOSS Birthplace of Father: Tenn. Maiden Name of Mother: Louise WEBB Birthplace of Mother: Tenn. Informant: Robt. MOSS Address: Springfield, Tenn. Filed: 11/02/1917 H. N. Wilkerson, Registrar Date of Death: 11/09/1917 The physician attended him from 11/04/1917 to 11/08/1917 and last saw him alive on 11/08/1917 Death occurred on date above at 6 am Cause of Death: I think Endocarditis--I guess seven months. Contributory: Uremia Duration: 3? ds. Signed: T. L. Johnson, M. D. Date: 11/08/1917 Address: Greenbrier, Tenn. Place of Burial: Bethlehem Date of Burial: 11/10/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |