Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Village or City: Springfield, Reg. Dist.: 752 Primary Reg. Dist.: 75209, Reg. No.: 390 Full Name: Milanda COLE Sex: F Race: Negro Marital Status: Widowed Date of Birth: Don't know Age: about 65 yrs. Occupation: Housewife Birthplace: Tennessee Name of Father: Green MALLORY Birthplace of Father: (blank) Maiden Name of Mother: Judie BENTON Birthplace of Mother: Tennessee Informant: Sallie? RYE Address: Columbia, Tenn. Filed: 01/23/1917 Frank Bell, Registrar Date of Death: 01/22/1917 The physician attended deceased from 12/10/1916 to 01/22/1917 and last saw her alive on 01/22/1917 Death occurred on date stated above at: 5 AM Cause of Death: Broncho Pneumonia Duration: 10 ds. Contributory: La Grippe Duration: 30 ds. Signed: R. L. Mathews, M. D. 01/23/1917 Address: Springfield, Tenn. Place of Burial or Removal: Family B. G. Date of Burial: 01/23/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |