Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Primary Reg. Dist.: 27509 Village or City: Springfield, Reg. Dist.: 752, Reg. No. 478 Full Name: John Yates BLOODWORTH Sex: M Race: Wh Marital Status: widowed Date of Birth: 05/27/1859 Age: 58 yrs. 3 mos. 27 ds. Occupation: Farmer Nature of Industry: Merchant Birthplace: Tenn. Name of Father: Thimothy BLOODWORTH Birthplace of Father: Tenn. Maiden Name of Mother: Mary Elizabeth STRAIGHTER Birthplace of Mother: Tenn. Informant: Mrs. James EIDSON Address: Springfield, Tenn. Filed: 09/20/1917 Frank Bell, Registrar Date of Death: 09/19/1917 The physician attended him from 06/01/1917 to 09/1917 and last saw him alive on 09/1917 Cause of Death: Mitral Regurgitation Signed: W. B. Dye, M. D. Date: 09/20/1917 Address: Springfield, Tenn. Place of Burial: Elmwood Cem. Date of Burial: 09/20/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |