Rootwalker--Death Certificate for Polly W. Dean 9-21-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Polly W. DEAN

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. 9, Village or City: (blank)
     Reg. Dist. No. 224, Primary Reg. Dist. No. 42209, Reg. No. 16, File No. (blank)
Full Name: Polly W. DEAN
Sex: Female     Race: White     Marital Status: widowed
Date of Birth: 7/31/1839
Age: 78 yrs. 1 mos. 20 ds.
Occupation: (blank)
Birthplace: Dickson Co.
Name of Father: McKeilly? G. SENSING
Birthplace of Father: Don't Know
Maiden Name of Mother: Donilla? POWELL
Birthplace of Mother: Davidson
Informant: W. P. SENSING   Address: Vanleer Tenn.
Filed: 9/22/1917           J. C. Geurin, Registrar
Date of Death:  9/21/1917
The physician attended her from 8/1/1917 to 9/21/1917
     and last saw her alive on 9/10/1917
Death occurred at: 9 PM
Cause of Death: Old Age.
Signed by: W. A. Bell, M. D.       Date: 9/21/1917      Address: Cloverdale
Place of Burial: Vanleer      Date of Burial: 9/22/1917
Undertaker: W. T. McGee      Address: Vanleer




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