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Following is a transcription of the above person's (TN) death certificate:
Place of Death: County: Dickson, Civil Dist. 7, Village or City: (blank)
Reg. Dist. No. 42207, Primary Reg. Dist. No. 42207, Reg. No. 9,
File No. (blank)
Full Name: (stillborn) JONES
Sex: Female Race: White Marital Status:
Single
Date of Birth: 8/6/1917
Age: 1 hrs.
Occupation: None
Birthplace: Cheap Hill R#2
Name of Father: W. R. JONES
Birthplace of Father: Tenn.
Maiden Name of Mother: Nomi? U. SHEAFER ?
Birthplace of Mother: Tenn.
Informant: W. R. JONES Address: Cheap Hill Tenn.
Filed: 8/20/1917 N. D. Duke,
Registrar
Date of Death: 8/6/1917
The physician attended her from 8/6/1917 to (blank)
and last saw her alive on 8/6/1917
Death occurred at: 3 AM
Cause of Death: Premature 6 mo.--Labor was to far advanced to check when I saw her
Signed by: W. M. Cunningham, M. D. Date:
8/6/1917 Address: Cumberland Fce Tenn.
Place of Burial: (blank) Date of Burial: (blank)
Undertaker: (blank) Address: (blank)
� 2001 Vanessa Slea