Rootwalker--Death Certificate for Susan Emily Street 9-21-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Susan Emily STREET

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

Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
     Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No. 18, File No. (blank)
Full Name: Susan Emily STREET
Sex: female     Race: white     Marital Status: married
Date of Birth: 1877
Age: 40 yrs.
Occupation: Housewife
Birthplace: Tenn.
Name of Father: Hirdy? MCCLURKAN
Birthplace of Father: Tenn.
Maiden Name of Mother: Judie TAYLOR
Birthplace of Mother: Tenn.
Informant: Claud? WILLIAMS ?   Address: Tenn. City
Filed: 10/8/1917           Dr. J. F. Hunt, Registrar
Date of Death:  9/21/1917
The physician attended her from 7/24/1917 to 9/18/1917
     and last saw her alive on 9/18/1917
Death occurred at: 10 PM
Cause of Death: Aortic Reguritation                Contributory: Rheumatism
Signed by: Dr. A. C. Dickson, M. D.       Date: 10/8/1917      Address: Van Leer Tenn.
Place of Burial: Adams      Date of Burial: 9/22/1917
Undertaker: Taylor Bros. & Davis      Address: Dickson




� 2001 Vanessa Slea