Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 12, Village or City: Greenbrier, Tenn. Reg. Dist.: 47512, Primary Reg. Dist.: 12, Reg. No.: 7 Full Name: Levi? CARROLL Sex: Male Race: White Marital Status: Married Date of Birth: (blank) Age: about 97 yrs. Occupation: Farmer Nature of Industry: Active for his age Birthplace: Tennessee Name of Father: Do not know Birthplace of Father: (blank) Maiden Name of Mother: Do not know Birthplace of Mother: (blank) Informant: G. M. CARROLL Address: R#1 Greenbrier Filed: 02/10/1917 Maude Briggs, Registrar Date of Death: 02/09/1917 The physician attended deceased from 02/04/1917 to 02/04/1917 and last saw him alive on 02/04/1917 Death occurred on date stated above at: 5 PM Cause of Death: Lagrippe Contributory: Old age Signed: T. L. Johnson, M. D. 02/10/1917 Address: Greenbrier, Tenn. Place of Burial or Removal: Greenbrier, Tenn. Date of Burial: 02/11/1917 Undertaker: R. G. Gleaves Address: Greenbrier, Tenn. |