Rootwalker--Death Certificate for Susie Gaines 4-2-1917

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Genealogy Pages for Northern Middle TN
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Death Certificate for Susie GAINES

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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. 43, File No. 43
Full Name: Susie GAINES
Sex: Female     Race: Col.     Marital Status: Married
Date of Birth: 1872
Age: 45 yrs.
Occupation: Housewife
Birthplace: Tenn.
Name of Father: Sol BRINKLEY
Birthplace of Father: Tenn.
Maiden Name of Mother: Sara? JACKSON
Birthplace of Mother: Tenn.
Informant: Alf GAINES    Address: Dickson
Filed: 4/5/1917      W. J. Sugg, Registrar
Date of Death: 4/2/1917
The physician attended her from 3/24/1917 to 4/3/1917
     and last saw her alive on 4/2/1917
Death occurred at: 4 PM
Cause of Death:Tuberculosis        Duration: Do not know
Signed by: W. S. Scott, M. D.       Date: 4/3/1917       Address: Dickson
Place of Burial: Dickson      Date of Burial: 4/4/1917
Undertaker: Taylor Bros. & Davis       Address: Dickson




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