Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 5, Village or City: Dickson
Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 74, File
No. 74
Full Name: (stillborn) DAVIS
Sex: male Race: negro Marital Status:
single
Date of Birth: 12/26/1917
Age: (blank)
Occupation: died
Birthplace: Dickson Tenn.
Name of Father: Aron DAVIS
Birthplace of Father: Dickson County
Maiden Name of Mother: Inez LARKINS
Birthplace of Mother: Charlotte Tenn.
Informant: Aron DAVIS Address: Dickson Tenn.
Filed: 12/26/1917
W. J. Sugg, Registrar
Date of Death: 12/26/1917
The physician attended him from 12/26/1917 to 12/26/1917
and last saw him alive on 12/26/1917
Death occurred at: 6 AM
Cause of Death: Premature Birth
Signed by: N. Miles, M. D. Date:
12/26/1917 Address: Dickson Tenn.
Place of Burial: Dickson Date of Burial: 12/27/1917
Undertaker: (illegible) Address: (blank)
� 2001 Vanessa Slea