Genealogy Pages for Northern Middle TN
Death Certificate for Thomas FORT
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 9, Primary Reg. Dist.: 27509 Village or City: Springfield, Reg. Dist.: 752, Reg. No.: 495 Full Name: Thomas FORT Sex: Male Race: Col Marital Status: Widowed Date of Birth: Don't know Age: about 85 yrs. Occupation: Laborer Birthplace: Tennessee Name of Father: Geo Metcalf FORT Birthplace of Father: Tenn. Maiden Name of Mother: Su?kye CARR Birthplace of Mother: Tenn. Informant: Mary PALMER Address: Clarksville, Tenn. Filed: 11/24/1917 Frank Bell, Registrar Date of Death: 11/24/1917 The physician attended him from 11/17/1917 to 11/24/1917 and last saw him alive on 11/23/1917 Death occurred on date above at 3:30 am Cause of Death: Hemorrhage at the lungs Duration: 6 ds. Contributory: Bronchitis & nephritis Signed: T. Howard Bullard, M. D. Date: 11/25/1917 Address: Springfield, Tenn. Place of Burial: Lendahand Date of Burial: 11/25/1917 Undertaker: Henry & Bell Address: Springfield, Tenn. |