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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) ASHWORTH

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

Place of Death: County: Dickson, Civil Dist. 12, Village or City: (blank)
     Reg. Dist. No. 225, Primary Reg. Dist. No. 1214, Reg. No. (blank), File No. (blank)
Full Name: (stillborn) ASHWORTH
Sex: Male     Race: White     Marital Status: Single
Date of Birth: 6/30/1917
Age: 0 mins.
Occupation: none
Birthplace: Dickson Co.
Name of Father: Absolem Nicks ASHWORTH
Birthplace of Father: Dickson Co. Tenn.
Maiden Name of Mother: Willie NORMAN
Birthplace of Mother: Davidson Co. Tenn.
Informant: A. N. ASHWORTH   Address: White Bluff Tenn.
Filed: 6/30/1917       Jas. A. Venable, Registrar
Date of Death: 6/30/1917
Death occurred at: (blank)
Cause of Death: Premature Birth
Signed by: Jas. A. Venable, M. D.       Date: 6/30/1917      Address: White Bluff, Tenn.
Place of Burial: Jackson Graveyard      Date of Burial: 7/1/1917
Undertaker: J. H. West      Address: White Bluff

� 2001 Vanessa Slea