Genealogy Pages for Northern Middle TN
Death Certificate for Matilda Francis GRUBBS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 12, Village or City: Greenbrier, Reg. Dist.: 47512, Primary Reg. Dist.: 12, Reg. No.: 1 Full Name: Matilda Francis GRUBBS Sex: Female Race: White Marital Status: married Date of Birth: (blank) Age: 66 yrs. Occupation: Housekeeper Nature of Industry: Active Birthplace: Tennessee Name of Father: Abraham WEBSTER Birthplace of Father: Pinsilvania <Pennsylvania?> Maiden Name of Mother: Margeret TRUE <Margaret?> Birthplace of Mother: Va. Informant: F. A.? GRUBBS Address: Greenbrier, Tenn. Filed: 01/10/1917 Maude Briggs, Registrar Date of Death: 01/09/1917 The physician attended deceased from 12/15/1916 to 01/07/1917 and last saw her alive on 01/07/1917 Death occurred on date stated above at: 1 AM Cause of Death: Pellagra Signed: W. W. Winters, M. D. 01/16/1917 Address: Greenbrier Place of Burial or Removal: Greenbrier, Tenn. Date of Burial: 01/10/1917 Undertaker: R. G. Gleaves Address: Tenn. |