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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) GRAYBILLE

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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: (blank)
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 60, File No. 60
Full Name: (stillborn) GRAYBILLE
Sex: Male     Race: White     Marital Status: (blank)
Date of Birth: 7/23/1917
Age: (blank)
Occupation: (blank)
Birthplace: Dickson Co.
Name of Father: Jack GRAYBILLE
Birthplace of Father: Davis Co. Inda.
Maiden Name of Mother: Lula May BISHOP
Birthplace of Mother: Hickman Co.
Informant: Jack GRAYBILLE   Address: Dickson
Filed: 7/24/1917           W. J. Sugg, Registrar
Date of Death:  7/23/1917
Death occurred at: (blank)
Cause of Death: Still Born
Signed by: B. F. Walker, M. D.       Date: 7/24/1917      Address: Dickson
Place of Burial: Dickson      Date of Burial: 7/24/1917
Undertaker: Taylor Bros. & Davis      Address: Dickson

� 2001 Vanessa Slea