Genealogy Pages for Northern Middle TN
Death Certificate for Robert MOSS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 11, Reg. Dist.: 47511 Reg. No.: 49 Full Name: Robert MOSS Sex: M Race: W Marital Status: Widower Date of Birth: 06/02/1842 Age: 75 yrs. 6 mos. 25 ds. Occupation: Farmer Birthplace: Tenn. Name of Father: James MOSS Birthplace of Father: North Carolina Maiden Name of Mother: Martha CHOWNING Birthplace of Mother: Tenn. Informant: W. R. MOSS Address: R3 Springfield, Tenn. Filed: 01/1918 H. B. Wilkinson, Registrar Date of Death: 12/27/1917 The physician attended him from 12/21/1917 to 12/27/1917 and last saw him alive on 12/27/1917 Death occurred on date above at 5 pm Cause of Death: Pneumonia Signed: L. B. Walton, M. D. Date: 12/27/1917 Address: White House, Tenn. Place of Burial: Bethlehem Church Date of Burial: 12/29/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |