Place of Death: County: Robertson, Civil Dist.: 12, Reg. Dist.: 47512
Village or City: Greenbrier, Primary Reg. Dist.: 12, Reg. No.: 37
Full Name: Emma ADAMS
Sex: F. Race: C. Marital Status: M.
Date of Birth: (blank)
Age: 32 yrs.
Occupation: Housewife Nature of Industry: Active
Birthplace: Tennessee
Name of Father: Nat DOUGLAS
Birthplace of Father: Tennessee
Maiden Name of Mother: Lucindie KIRK
Birthplace of Mother: Tennessee
Informant: George ADAMS Address: Greenbrier, Tn
Filed: 12/02/1917 Maude Briggs, Registrar
Date of Death: 11/30/1917
The physician attended her from 10/25/1917 to 11/29/1917
and last saw her alive on 11/29/1917
Death occurred on date above at 1 am
Cause of Death: Tuberculosis Duration: 8 mos.
Signed: T. L. Johnson, M. D. Date: 12/02/1917 Address: Greenbrier, Tenn.
Place of Burial: Greenbrier Date of Burial: 12/02/1917
Undertaker: R. G. Gleaves Address: Greenbrier
Village or City: Greenbrier, Primary Reg. Dist.: 12, Reg. No.: 37
Full Name: Emma ADAMS
Sex: F. Race: C. Marital Status: M.
Date of Birth: (blank)
Age: 32 yrs.
Occupation: Housewife Nature of Industry: Active
Birthplace: Tennessee
Name of Father: Nat DOUGLAS
Birthplace of Father: Tennessee
Maiden Name of Mother: Lucindie KIRK
Birthplace of Mother: Tennessee
Informant: George ADAMS Address: Greenbrier, Tn
Filed: 12/02/1917 Maude Briggs, Registrar
Date of Death: 11/30/1917
The physician attended her from 10/25/1917 to 11/29/1917
and last saw her alive on 11/29/1917
Death occurred on date above at 1 am
Cause of Death: Tuberculosis Duration: 8 mos.
Signed: T. L. Johnson, M. D. Date: 12/02/1917 Address: Greenbrier, Tenn.
Place of Burial: Greenbrier Date of Burial: 12/02/1917
Undertaker: R. G. Gleaves Address: Greenbrier
Place of Death: County: Robertson, Civil Dist.: 12, Reg. Dist.: 47512
Village or City: Greenbrier, Primary Reg. Dist.: 12, Reg. No.: 37
Full Name: Emma ADAMS
Sex: F. Race: C. Marital Status: M.
Date of Birth: (blank)
Age: 32 yrs.
Occupation: Housewife Nature of Industry: Active
Birthplace: Tennessee
Name of Father: Nat DOUGLAS
Birthplace of Father: Tennessee
Maiden Name of Mother: Lucindie KIRK
Birthplace of Mother: Tennessee
Informant: George ADAMS Address: Greenbrier, Tn
Filed: 12/02/1917 Maude Briggs, Registrar
Date of Death: 11/30/1917
The physician attended her from 10/25/1917 to 11/29/1917
and last saw her alive on 11/29/1917
Death occurred on date above at 1 am
Cause of Death: Tuberculosis Duration: 8 mos.
Signed: T. L. Johnson, M. D. Date: 12/02/1917 Address: Greenbrier, Tenn.
Place of Burial: Greenbrier Date of Burial: 12/02/1917
Undertaker: R. G. Gleaves Address: Greenbrier
Village or City: Greenbrier, Primary Reg. Dist.: 12, Reg. No.: 37
Full Name: Emma ADAMS
Sex: F. Race: C. Marital Status: M.
Date of Birth: (blank)
Age: 32 yrs.
Occupation: Housewife Nature of Industry: Active
Birthplace: Tennessee
Name of Father: Nat DOUGLAS
Birthplace of Father: Tennessee
Maiden Name of Mother: Lucindie KIRK
Birthplace of Mother: Tennessee
Informant: George ADAMS Address: Greenbrier, Tn
Filed: 12/02/1917 Maude Briggs, Registrar
Date of Death: 11/30/1917
The physician attended her from 10/25/1917 to 11/29/1917
and last saw her alive on 11/29/1917
Death occurred on date above at 1 am
Cause of Death: Tuberculosis Duration: 8 mos.
Signed: T. L. Johnson, M. D. Date: 12/02/1917 Address: Greenbrier, Tenn.
Place of Burial: Greenbrier Date of Burial: 12/02/1917
Undertaker: R. G. Gleaves Address: Greenbrier
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