Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Reg. Dist.: 752 Village or City: Springfield, Primary Reg. Dist.: 27509, Reg. No.: 343 Full Name: Matilda BOISAN? Sex: Female Race: Col. Marital Status: married Date of Birth: 04/24/1884 Age: 22 yrs. 1 mos. 29 ds. Occupation: Housekeeper Nature of Industry: Housework Birthplace: Robertson Co., Tenn. Name of Father: Carroll BELL Birthplace of Father: Robertson Co., Tenn. Maiden Name of Mother Izabel HUGHES Birthplace of Mother: Robertson Co., Tenn. Informant: Dan BOISAN? Address: Springfield, Tenn. Filed: 06/23/1917 Frank Bell, Registrar Date of Death: 06/22/1917 The physician attended her from 04/19/1917 to 06/22/1917 and last saw her alive on 05/23/1917 Death occurred on date above at 4 pm Cause of Death: Pulmonary tuberculosis Duration: 1 yrs. Signed: B. F. Fykes, M. D. Date: 06/22/1917 Address: Springfield Place of Burial: Robertson Co. Mt. Olive Ch. Date of Burial: 06/23/1917 Undertaker: H. L Hunt & Co. Address: Springfield, Tenn. |