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Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 8, Village or City: (blank)
Reg. Dist. No. 42208, Primary Reg. Dist. No. 42208, Reg. No. 31,
File No. (blank)
Full Name: Semion? Lee RICE
Sex: male Race: white Marital Status:
single
Date of Birth: D. K.
Age: 8 yrs.
Occupation: (blank)
Birthplace: Tenn.
Name of Father: Albert RICE
Birthplace of Father: Tenn.
Maiden Name of Mother: Bell STOCK
Birthplace of Mother: Tenn.
Informant: Father Address: Pardue
Tenn.
Filed: 11/28/1917
W. M. Cunningham, Registrar
Date of Death: 11/28/1917
The physician attended him from 11/11/1917 to 11/26/1917
and last saw him alive on 11/26/1917
Death occurred at: 5 AM
Cause of Death: Tuberculosis of hip Duration: 1
yrs. 6 mos.
Signed by: L. F. Loggins, M. D. Date:
12/15/1917 Address: Stayton Tenn.
Place of Burial: Family Buring Ground Date of Burial:
11/29/1917
Undertaker: Speight Nicks & Co. Address: Stayton Tenn.
� 2001 Vanessa Slea