Rootwalker--Death Certificate for (stillborn) Robertson 10-5-1917

Rootwalker
Genealogy Pages for Northern Middle TN
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Death Certificate for (stillborn) ROBERTSON

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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. 64, File No. 64
Full Name: (stillborn) ROBERTSON
Sex: male     Race: white     Marital Status: Infant
Date of Birth: 10/5/1917
Age: Still Born
Occupation: (blank)
Birthplace: Dickson Co. Tenn.
Name of Father: L. C. ROBERTSON
Birthplace of Father: Miss.
Maiden Name of Mother: Hollie BAKER
Birthplace of Mother: Tenn.
Informant: T. M. TAYLOR   Address: (blank)
Filed: 10/5/1917               W. J. Sugg, Registrar
Date of Death:  10/5/1917
Death occurred at: (blank)
Cause of Death: Still Born
Signed by: H. Claude Geurin, M. D.       Date: (blank)      Address: Dickson Tenn.
Place of Burial: City Cemetery      Date of Burial: 10/5/1917
Undertaker: Taylor Bros. & Davis      Address: Dickson




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