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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) JONES

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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. 67?, File No. 67?
Full Name: (stillborn) JONES
Sex: Female     Race: White     Marital Status: Infant
Date of Birth: 9/22/1917
Age: (blank)
Occupation: (blank)
Birthplace: Tenn.
Name of Father: Pete JONES
Birthplace of Father: Tenn.
Maiden Name of Mother: Willie D??LL?
Birthplace of Mother: Tenn.
Informant: Pete JONES   Address: Dickson
Filed: 9/22/1917           W. J. Sugg, Registrar
Date of Death:  9/22/1917
Death occurred at: (blank)
Cause of Death: Still borned
Signed by: H. Claud Geurin, M. D.       Date: 9/22/1917      Address: Dickson
Place of Burial: City Cemetery      Date of Burial: 9/22/1917
Undertaker: G. C. Collins & Son      Address: Dickson

� 2001 Vanessa Slea