Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Houston, Civil Dist.: 1, Village or City: McKinnon, Tenn. Reg. Dist.: 44201, Primary Reg. Dist.: 1, File No.: 16 Full Name: Martha BARNES Sex: Female Race: Black Marital Status: Widowed Date of Birth: Have no record Age: Have no record Occupation: County Pauper Birthplace: Have no record Name of Father: Do not know Birthplace of Father: Do not know Maiden Name of Mother: Do not know Birthplace of Mother: Do not know Informant: Hart BRIGHAM Address: McKinnon, Tenn. Filed: 10/26/1917 A. F. Weaver, Registrar Date of Death: 09/03/1917 The physician attended the deceased from 09/02/1917 to (blank) and last saw her alive on 09/02/1917 Death occurred on date stated above at: 7 AM Cause of Death: Senility Signed: O. K. Womack, M. D. 10/26/1917 Address: McKinnon, Tenn. Place of Burial or Removal: McKinnon, Tenn. Date of Burial: 09/04/1917 Undertaker: None |