Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No. 19, File No. (blank)
Full Name: Tennie ADAMS
Sex: female Race: white Marital Status: married
Date of Birth: DK
Age: 70 yrs.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Jess DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Phoebe COAKEY?
Birthplace of Mother: Tenn.
Informant: W. B. ELLIS Address: Ruskin
Filed: 1/7/1918 J. F. Hunt, Registrar
Date of Death: 12/31/1917
Death occurred at: 4 AM
Cause of Death: Chronic Tuberculosis No Regular Physician
Duration: sick about 10 yrs. Contributory: Bronchitis
Signed by: (blank) Date: (blank) Address: (blank)
Place of Burial: Adams Date of Burial: 1/1?/1918
Undertaker: Taylor Bros. Address: Dickson
Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No. 19, File No. (blank)
Full Name: Tennie ADAMS
Sex: female Race: white Marital Status: married
Date of Birth: DK
Age: 70 yrs.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Jess DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Phoebe COAKEY?
Birthplace of Mother: Tenn.
Informant: W. B. ELLIS Address: Ruskin
Filed: 1/7/1918 J. F. Hunt, Registrar
Date of Death: 12/31/1917
Death occurred at: 4 AM
Cause of Death: Chronic Tuberculosis No Regular Physician
Duration: sick about 10 yrs. Contributory: Bronchitis
Signed by: (blank) Date: (blank) Address: (blank)
Place of Burial: Adams Date of Burial: 1/1?/1918
Undertaker: Taylor Bros. Address: Dickson
Place of Death: County: Dickson, Civil Dist. 11, Village or City: (blank)
Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No. 19, File No. (blank)
Full Name: Tennie ADAMS
Sex: female Race: white Marital Status: married
Date of Birth: DK
Age: 70 yrs.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Jess DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Phoebe COAKEY?
Birthplace of Mother: Tenn.
Informant: W. B. ELLIS Address: Ruskin
Filed: 1/7/1918 J. F. Hunt, Registrar
Date of Death: 12/31/1917
Death occurred at: 4 AM
Cause of Death: Chronic Tuberculosis No Regular Physician
Duration: sick about 10 yrs. Contributory: Bronchitis
Signed by: (blank) Date: (blank) Address: (blank)
Place of Burial: Adams Date of Burial: 1/1?/1918
Undertaker: Taylor Bros. Address: Dickson
Reg. Dist. No. 42211, Primary Reg. Dist. No. (blank), Reg. No. 19, File No. (blank)
Full Name: Tennie ADAMS
Sex: female Race: white Marital Status: married
Date of Birth: DK
Age: 70 yrs.
Occupation: House wife
Birthplace: Tenn.
Name of Father: Jess DANIEL
Birthplace of Father: Tenn.
Maiden Name of Mother: Phoebe COAKEY?
Birthplace of Mother: Tenn.
Informant: W. B. ELLIS Address: Ruskin
Filed: 1/7/1918 J. F. Hunt, Registrar
Date of Death: 12/31/1917
Death occurred at: 4 AM
Cause of Death: Chronic Tuberculosis No Regular Physician
Duration: sick about 10 yrs. Contributory: Bronchitis
Signed by: (blank) Date: (blank) Address: (blank)
Place of Burial: Adams Date of Burial: 1/1?/1918
Undertaker: Taylor Bros. Address: Dickson
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