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Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 4, Village or City: (blank)
Reg. Dist. No. 222, Primary Reg. Dist. No. (blank), Reg. No.
(blank), File No. 5
Full Name: Orbin TAYLOR
Sex: male Race: white Marital Status:
child
Date of Birth: 1912
Age: 5 yrs.
Occupation: Child
Birthplace: Dickson Co.
Name of Father: Jno. TAYLOR
Birthplace of Father: Dickson Co.
Maiden Name of Mother: Lovenia ADCOCK
Birthplace of Mother: Dickson Co.
Informant: Geo. ADCOCK Address: Burns
Filed: Aug. 1917 Mrs. J. E.
Mathis, Registrar
Date of Death: 8/30/1917
Death occurred at: (blank)
Cause of Death: Brain fever, sickness last 13 days was attended by
Signed by: Dr. H. P. Spencer, M. D. Date:
(blank) Address: Burns Tenn.
Place of Burial: family cemetery Date of Burial: (blank)
Undertaker: H. C. Thomas Address: Burns Tenn.
� 2001 Vanessa Slea