Rootwalker--Death Certificate for Lovie? Mason 01-23-1917

Rootwalker
Genealogy Pages for Northern Middle TN
line1.jpg (824 bytes)
Death Certificate for Lovie? MASON

backdeathbutton.png (1643 bytes)

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

Place of Death: County: Robertson, Village or City: Springfield, Reg. Dist.: 752
     Primary Reg. Dist.: 75209, Reg. No.: 391
Full Name: Lovie? MASON
Sex: Female     Race: Colored     Marital Status: Single
Date of Birth: 03/25/1893
Age: 23 yrs. 9 mos. 28 ds.
Occupation: Domestic
Birthplace: Kentucky
Name of Father: Charlie MASON
Birthplace of Father: Kentucky
Maiden Name of Mother: Chanvie? PICKMAN?
Birthplace of Mother: Kentucky
Informant: Chanvie? MASON     Address: Springfield, Tenn.
Filed: 01/24/1917     Frank Bell, Registrar
Date of Death: 01/23/1917
The physician attended deceased from 12/01/1916 to 01/23/1917
     and last saw her alive on 01/22/1917
Death occurred on date stated above at: 7 AM
Cause of Death: Tuberculosis Pulmonary
Signed: S. R. Blackwell?, M. D.     01/23/1917      Address: Springfield
Place of Burial or Removal: Smith Grove?, Ky.   <illegible> Co.
     Date of Burial: 01/24/1917
Undertaker: H. L. Hurt & Co.     Address: Springfield, Tenn.

 



This page was created on 12/18/2002 and last updated on 01/01/2004.
� 2004 Stan Magnesen