Genealogy Pages for Northern Middle TN
Death Certificate for Sam WILLIAMS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 16, Reg. dist.: 752, Village or city: County, No.: Poor House, Primary Reg. Dist.: 47516, Reg. No.: 499 Full Name: Sam WILLIAMS Sex: Male Race: Colord Marital Status: Single Date of Birth: 10/02/1847 Age: 70 yrs. 2 mos. 5 ds. Occupation: farm hand Birthplace: Tennessee Name of Father: unknown Birthplace of Father: unknown Maiden Name of Mother: unknown Birthplace of Mother: unknown Informant: W. Z. FRYER Address: Springfield R. 1 Filed: 12/05/1917 Frank Bell, Registrar Date of Death: 12/04/1917 The physician attended him from about 12/01/1917 to 12/06/1917 and last saw him alive on 12/06/1917 Death occurred on date above at 4 am Cause of Death: Dropsey of heart Signed: W. W. Porter, M. D. Date: 12/05/1917 Address: Springfield, Tenn. Place of Burial: County Farm Date of Burial: 12/05/1917 Undertaker: None Address: (blank) |