| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 4, Reg. Dist.: 47504, File No.: 6 Full Name: Mary Magoline PULLIAM Sex: Male Race: Colored Marital Status: Single Occupation: home Birthplace: Robertson Co., Tenn. Name of Father: Will PULLIAM Birthplace of Father: Simpson Co., Ky. Maiden Name of Mother: Fannie HOOPER Birthplace of Mother: Robertson Co., Tenn. Informant: Will PULLIAM Address: Springfield, Tenn. Filed by: R. A.? Poor, Registrar Date of Death: 04/23/1917 The physician attended deceased from 10/10/1916 to 04/23/1917 and last saw her alive on 04/22/1917 Death occurred on date stated above at: 10 AM Cause of Death: Tuberculosis Duration: 10 mos. Signed: Dr. Blackwell col , M. D. <as written on death certificate> Address: Springfield, Tenn. Place of Burial or Removal: Hart Graveyard Date of Burial: 04/25/1917 Undertaker: Joe Henry Address: Springfield, Tenn. |