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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) DAVIS

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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. 38, File No. 38
Full Name: (stillborn) DAVIS
Sex: male     Race: negro     Marital Status: Single
Date of Birth: 3/28/1917
Age: 4 1/2 mos.
Occupation: still born
Birthplace: Dickson, Tenn.
Name of Father: Reese DAVIS
Birthplace of Father: Dickson County
Maiden Name of Mother: Ivey LARKIN
Birthplace of Mother: Dickson County
Informant: Reese DAVIS    Address: Dickson, Tenn.
Filed: 3/29/1917      W. J. Sugg, Registrar
Date of Death: 3/28/1917
The physician attended him from 3/28/1917 to 3/28/1917
     and last saw him still born 3/28/1917
Death occurred at: 8 AM
Cause of Death:Mis-Carriage               Duration: 4 1/2 mos.
     Contributory: some accident  
Signed by: N. Miles, M. D.       Date: 3/28/1917       Address: Dickson Tenn.
Place of Burial: (blank)      Date of Burial: (blank)
Undertaker: (blank)       Address: (blank)

� 2001 Vanessa Slea