TENNESSEE CERTIFICATE OF DEATH 629
Place of Death: Sequatchie County, 4th Civil District
Village: Dunlap
Full Name: - Davis
Sex: Male Color: White Single
Date of Birth: Mar. 10, 1918
Age: 1 hr., 15 min.
Occupation: -
Birthplace: Sequatchie Co.
Name of Father: M.L. Davis
Birthplace of Father: Tenn.
Maiden Name of Mother: Emma Owensby
Birthplace of Mother: Tenn.
Informant: Mrs. M.L. Davis, Dunlap, Tenn.
Date of Death: 3 - 10 - 1918 at 11PM
That I last saw him alive on 3/10/1918.
Cause of Death: Premature birth, only five month child
Signed: J.B. Smith, M.D.,
Place of Burial: Rankin Semetery
Date of Burial: 3/11/1918
Undertaker: Standifer & Smith, Dunlap, Tenn
Place of Death: Sequatchie County, 4th Civil District
Village: Dunlap
Full Name: - Davis
Sex: Male Color: White Single
Date of Birth: Mar. 10, 1918
Age: 1 hr., 15 min.
Occupation: -
Birthplace: Sequatchie Co.
Name of Father: M.L. Davis
Birthplace of Father: Tenn.
Maiden Name of Mother: Emma Owensby
Birthplace of Mother: Tenn.
Informant: Mrs. M.L. Davis, Dunlap, Tenn.
Date of Death: 3 - 10 - 1918 at 11PM
That I last saw him alive on 3/10/1918.
Cause of Death: Premature birth, only five month child
Signed: J.B. Smith, M.D.,
Place of Burial: Rankin Semetery
Date of Burial: 3/11/1918
Undertaker: Standifer & Smith, Dunlap, Tenn
TENNESSEE CERTIFICATE OF DEATH 629
Place of Death: Sequatchie County, 4th Civil District
Village: Dunlap
Full Name: - Davis
Sex: Male Color: White Single
Date of Birth: Mar. 10, 1918
Age: 1 hr., 15 min.
Occupation: -
Birthplace: Sequatchie Co.
Name of Father: M.L. Davis
Birthplace of Father: Tenn.
Maiden Name of Mother: Emma Owensby
Birthplace of Mother: Tenn.
Informant: Mrs. M.L. Davis, Dunlap, Tenn.
Date of Death: 3 - 10 - 1918 at 11PM
That I last saw him alive on 3/10/1918.
Cause of Death: Premature birth, only five month child
Signed: J.B. Smith, M.D.,
Place of Burial: Rankin Semetery
Date of Burial: 3/11/1918
Undertaker: Standifer & Smith, Dunlap, Tenn
Place of Death: Sequatchie County, 4th Civil District
Village: Dunlap
Full Name: - Davis
Sex: Male Color: White Single
Date of Birth: Mar. 10, 1918
Age: 1 hr., 15 min.
Occupation: -
Birthplace: Sequatchie Co.
Name of Father: M.L. Davis
Birthplace of Father: Tenn.
Maiden Name of Mother: Emma Owensby
Birthplace of Mother: Tenn.
Informant: Mrs. M.L. Davis, Dunlap, Tenn.
Date of Death: 3 - 10 - 1918 at 11PM
That I last saw him alive on 3/10/1918.
Cause of Death: Premature birth, only five month child
Signed: J.B. Smith, M.D.,
Place of Burial: Rankin Semetery
Date of Burial: 3/11/1918
Undertaker: Standifer & Smith, Dunlap, Tenn
Family Members
Sponsored by Ancestry
Advertisement
Explore more
Sponsored by Ancestry
Advertisement
