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Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 5, Village or City: Dickson
Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 17, File
No. 17
Full Name: Mrs. J. M. TALLEY
Sex: Female Race: White Marital Status:
Married
Date of Birth: 8/10/1846
Age: 70 yrs. 9 mos. 10 ds.
Occupation: (blank)
Birthplace: Montgomery Co.
Name of Father: William MCCAULEY
Birthplace of Father: N. C.
Maiden Name of Mother: Minerva DOWDEN
Birthplace of Mother: Tennessee
Informant: Mrs. Clayton SMITH Address: Dickson, Tenn.
Filed: 1/18/1917 W. J. Sugg, Registrar
Date of Death: 1/17/1917
The physician attended her from 10/1/1916 to 1/17/1917
and last saw her alive on 1/17/1917
Death occurred at: 4 PM
Cause of Death: Endopericorditis (?)
Contributory: Lagrippe Duration: 10 ds.
Signed by: C. M. Lovell, M. D. Date: 1/20/1917
Address: Dickson Tenn.
Place of Burial: Dickson, Tenn Date of
Burial: 1/19/1917
Undertaker: G. C. Collins & Son Address: Dickson Tenn.