Genealogy Pages for Northern Middle TN
Death Certificate for Mary SHANNON
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 15, Reg. Dist.: 47515 Village or City: Cross Plains, File No.: 139, Reg. No.: 47515 Full Name: Mary SHANNON Sex: Female Race: Colored Marital Status: Widowed Date of Birth: 05/03/1855 Age: 62 yrs. 2 mos. 25 ds. Occupation: House Keeper Birthplace: Tennessee Name of Father: Lev SIMMONS Birthplace of Father: Tenn. Maiden Name of Mother: Mariah SIMMONS Birthplace of Mother: Tenn. Informant: Jessie SHANNON Address: Springfield, Tenn. No. 7 Filed: 07/30/1917 C. K. Howard, Registrar Date of Death: 07/28/1917 The physician attended her from 07/20/1917 to ---------- and last saw her alive on 07/20/1917 Cause of Death: organic Heart failure Signed: Jas. Th----ers, M. D. Date: 07/31/1917 Address: Cross Plains, Tenn. Place of Burial: Bigbee Cemetery Date of Burial: 07/29/1917 Undertaker: J. C. Barber & son Address: Springfield, Tenn. |