| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Primary Reg. Dist.: 27509 Reg. Dist.: 752, Reg. No.: 490 Full Name: Susie GOODWIN Sex: Fem Race: White Marital Status: married Date of Birth: 12/30/1884 Age: 37 yrs. 10 mos. 6 ds. Occupation: Housewife Birthplace: Tenn. Name of Father: William DAVIS Birthplace of Father: Tenn. Maiden Name of Mother: Marguille? GOODWIN Birthplace of Mother: Tenn. Informant: J. J. GOODWIN Address: Springfield, Tenn. Filed: 11/06/1917 Frank Bell, Registrar Date of Death: 11/06/1917 The physician attended her from 11/29/1917 to 11/29/1917 and last saw her alive on 11/29/1917 Cause of Death: Pulmonary Tuberculosis Signed: W.B. Dye, M. D. Date: 11/07/1917 Address: Springfield Place of Burial: Elmwood Cem. Date of Burial: 11/07/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |