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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. 13,
File No. (blank)
Full Name: (stillborn) HAYS
Sex: Female Race: White Marital Status:
Single
Date of Birth: 7/1/1917
Age: 12 hrs.
Occupation: Infant
Birthplace: Cumberland Furnace Tenn.
Name of Father: Grigsby HAYS
Birthplace of Father: Tenn.
Maiden Name of Mother: Minnie CLARK
Birthplace of Mother: Tenn.
Informant: Grigsby HAYS Address: Cumberland Fce. Tenn.
Filed: 7/2/1917 W. M. Cunningham, Registrar
Date of Death: 7/1/1917
The physician attended her from 7/1/1917 to 7/1/1917
and last saw her alive on 7/1/1917
Death occurred at: 11 PM
Cause of Death: Premature 6 mo. Mother had acute Dirrha which caused her
to go into Labor. Saw her to late to check same
Signed by: W. M. Cunningham, M. D. Date:
7/2/1917 Address: Cumberland Fce Tenn.
Place of Burial: Family Buring Ground Date of Burial:
7/2/1917
Undertaker: Grigsby Hays Address: Cumb Fce Tenn.
� 2001 Vanessa Slea