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Genealogy Pages for Northern Middle TN

Death Certificate for Lewis HOLT

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

Place of Death: County: Dickson, Civil Dist. 5, Village or City: Dickson
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 19, File No. 19
Full Name: Lewis HOLT
Sex: Male     Race: Negro     Marital Status: Single
Date of Birth: 2/2/1899
Age: 18 yrs.
Occupation: Rail Road Hand
Birthplace: Dickson County
Name of Father: Sam HOLT
Birthplace of Father: Tennessee
Maiden Name of Mother: Martha Jane EVANS
Birthplace of Mother: Tennessee
Informant: T. D. EVANS     Address: Dickson, Tenn.
Filed: 1/20/1917     W. J. Sugg, Registrar
Date of Death: 1/19/1917
The physician attended him from 1/19/1917 to 1/19/1917
     and last saw him alive on 1/19/1917
Death occurred at: 1:25 PM
Cause of Death: Lobar Pneumonia     Contributory: exposure    
Signed by: N. Miles, M. D.       Date: 1/20/1917       Address: Dickson Tenn.
Place of Burial: Dickson         Date of Burial: 1/20/1917
Undertaker: (illegible)      Address: (blank)

� 2001 Vanessa Slea