Genealogy Pages for Northern Middle TN
Death Certificate for Mrs. Mary Stark COUTS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Reg. Dist.: 752, Reg. No.: 330 Primary Reg. Dist.: 47509 Full Name: Mrs. Mary Stark COUTS Sex: F Race: Wh Marital Status: married Date of Birth: 05/27/1876 Age: 40 yrs. 11 mos. 5 ds. Occupation: Housewife Birthplace: Tenn. Name of Father: William Harrison STARK Birthplace of Father: Tenn. Maiden Name of Mother: Sarah George MOULTON Birthplace of Mother: Tenn. Informant: Mrs. Sarah STARK Address: Springfield, Tenn. Filed: 05/03/1917 Frank Bell, Registrar Date of Death: 05/02/1917 The physician attended deceased about Oct. 1916 to 05/01/1917 and last saw her alive on 05/01/1917 Death occurred on date stated above at: (blank) AM Cause of Death: Cancer of Liver Signed: W. W. Porter, M. D. 05/03/1917 Address: Springfield, Tenn. Place of Burial or Removal: Elmwood Cemetery Date of Burial: 05/03/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |