Rootwalker--Death Certificate for Orbin Taylor 8-30-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Orbin TAYLOR

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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.




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