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Genealogy Pages for Northern Middle TN

Death Certificate for (stillborn) MILES

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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: (blank)
     Reg. Dist. No. 221, Primary Reg. Dist. No. 5, Reg. No. 57, File No. 57
Full Name: (stillborn) MILES
Sex: male     Race: negro     Marital Status: single
Date of Birth: 6/21/1917
Age: (blank)
Occupation: Infant
Birthplace: Dickson
Name of Father: Fred MILES
Birthplace of Father: (blank)
Maiden Name of Mother: Etta WALLS
Birthplace of Mother: Dickson
Informant: Etta WALLS   Address: Dickson Tenn.
Filed: 6/22/1917       W. J. Sugg, Registrar
Date of Death: 6/21/1917
The physician attended him from 6/21/1917 to 6/21/1917
Death occurred at: 11 PM
Cause of Death: Still-Born           Contributory: Fall
Signed by: N. Miles, M. D.       Date: 6/22/1917      Address: Dickson, Tenn.
Place of Burial: City Cemetery      Date of Burial: 6/22/1917
Undertaker: Taylor Bros. Davis       Address: Dickson

� 2001 Vanessa Slea