Genealogy Pages for Northern Middle TN
Death Certificate for William DAVIS
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 5, Reg. Dist.: 751, Reg. No.: 29 Full Name: William DAVIS Sex: M Race: Negro Marital Status: Single Date of Birth: 04/25/1895 Age: 22 yrs. 6 mos. 24 ds. Occupation: Farm Laborer Birthplace: Tenn. Name of Father: Ed GILL Birthplace of Father: Tenn. Maiden Name of Mother: Sarah JOHNSON Birthplace of Mother: Tenn. Informant: Ed DAVIS Address: Springfield, Tenn. Filed: 11/21?/1917 Mrs. Addie Ruffin, Registrar Date of Death: 11/18/1917 The physician attended him from 06/1917 to 07/1917 and last sawh im alive on 06/21/1917 Death occurred on date above at 4 pm Cause of Death: Tuberculosis of Lungs Duration: 8 mos. Contributory: Measles Duration: 10 ds. Signed: R. L. Mathews, M. D. Date: 11/19/1917 Address: Springfield Place of Burial: (blank) Date of Burial: 11/19/1917 Undertaker: Henry & Bell Address: (blank) |