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Following is a transcription of the above person's (TN) death certificate:
Place of Death: Montgomery County, Civil Dist. 18, Registration District No. 646
Primary Registration District No. 18, Registered No. 38
Full Name: Sallie A. Harvey
Sex: Female Race: White (Marital Status):
Widowed
Date of Birth: Unknown
Age (at death): about 77 yrs.
Occupation: Housekeeper
Birthplace: Tennessee
Name of Father: Unknown
Birthplace of Father: Unknown
Maiden Name of Mother: Unknown
Birthplace of Mother: Unknown
Informant: Mrs. Morgan Address: Cunningham
Date of Death: Nov. 4, 1916
Cause of Death: Heart Failure & Paralysis
Physican: H. A. Nesbitt Address: Cunningham
Place of Burial: Harvey Cemetery
Date of Burial: Nov. 4, 1916
Undertaker: H. D. Allen Address: Slayden