Rootwalker--Death Certificate for Sallie SCOUTLAND d. 4-26-1920

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Death Certificate for Sallie SCOUTLAND

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

Place of Death: Jackson County, Civil Dist. No. 8, Registration Dist. No. 41408, File No. 12
Full Name: Sallie SCOUTLAND
Sex: female     Race: white     (Marital Status): married
Date of Birth: unknown
Age: 39 yrs. 3 mos. 20 ds.
Occupation: house wife
Birthplace: Meagsville Tenn.
Name of Father: Gander(?) PHIPPS
Birthplace of Father: Tenn.
Maiden Name of Mother: Jennie HAMLET
Birthplace of Mother: Tenn.
Informant: Henry HALL             Address: Gainesboro
Filed: May 1, 1920              Mrs. J.? M. CARSON(?)
Date of Death: Apr. 26, 1920
The physician last saw her alive on Mar. 26, 1920
Cause of Death: Pulmonary Tuberculosis
Signed: R. C. Gane(?), M. D.            Apr. 30, 1920             Address: Gainesboro, Tenn.
Place of Burial or Removal: Pleasant Hill        Date of Burial: Apr. 21, 1920
Undertaker: Rait(?) SCOUTLAND                    Address: Gainesboro

 

 

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