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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) HOLT

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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. 47, File No. 47
Full Name: (stillborn) HOLT
Sex: Male     Race: Black     Marital Status: Still Birth
Date of Birth: Still Birth
Age: (blank)
Occupation: (blank)
Birthplace: Dickson
Name of Father: Gill HOLT
Birthplace of Father: Dickson Tenn.
Maiden Name of Mother: Lizzie COLLINS
Birthplace of Mother: Dickson Tenn.
Informant: Gil HOLT    Address: Dickson Tenn.
Filed:5/4/1917       W. J. Sugg, Registrar
Date of Death: 5/3/1917
Death occurred at: (blank)
Cause of Death: (blank)
Signed by: W. S. Scott, M. D.       Date: (blank)      Address: Dickson
Place of Burial: (blank)      Date of Burial: (blank)
Undertaker: (blank)       Address: (blank)

� 2001 Vanessa Slea