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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) LEWIS

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Following is a transcription of the above person's (TN) death certificate:

Place of Death: County: Dickson, Civil Dist. (blank), Village or City: (blank)
     Reg. Dist. No. 42207, Primary Reg. Dist. No. 42207, Reg. No. 10, File No. (blank)
Full Name: (stillborn) LEWIS
Sex: Female     Race: White     Marital Status: (blank)
Date of Birth: 9/10/1917
Age: (blank)
Occupation: Infant
Birthplace: Tennessee
Name of Father: Early LEWIS
Birthplace of Father: Tenn.
Maiden Name of Mother: Ethel TRAVIS
Birthplace of Mother: Tenn.
Informant: Early LEWIS   Address: Cheap Hill Tenn.
Filed: 9/10?/1917           N. D. Duke, Registrar
Date of Death:  9/10/1917
Death occurred at: (blank)
Cause of Death: No Dr. in charge  7 mo. Baby.
Signed by: (blank)       Date: (blank)      Address: (blank)
Place of Burial: Dickson Chapel      Date of Burial: 9/11/1917
Undertaker: John Duke      Address: Ashland City

� 2001 Vanessa Slea