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.: 3921 Full Name: Mary Ellen COUTS Sex: F Race: W Marital Status: Widowed Date of Birth: 02/10/1853 Age: 64 yrs. 11 mos. 15 ds. Occupation: Housewife Birthplace: Tennessee Name of Father: William HUDDLESTON Birthplace of Father: North Carolina Maiden Name of Mother: Polly WOODARD Birthplace of Mother: Tennessee Informant: Henry HUDDLESTON Address: Springfield, Tenn. Filed: 01/26/1917 Frank Bell, Registrar Date of Death: 01/25/1917 The physician attended deceased from 03/01/1916 to 01/25/1917 and last saw her alive on 01/25/1917 Death occurred on date stated above at: 11 AM Cause of Death: Glosso?-Labio Laryngeal Paralysis Signed: C. M. Banks, M. D. 01/25/1917 Address: Springfield, Tenn. Place of Burial or Removal: Elmwood Cemetery Date of Burial: 01/27/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |