Lyine Cox Knott

Certificate of Death

Lyine Cox Knott

STATE OF TENNESSEE

STATE BOARD OF HEALTH

Bureau of Vital Statistics

CERTIFICATE OF DEATH

1. Place of death - Gibson County; Civil District 13

2. Full Name - Mrs. Lyine Knott

3. Sex - F

4. Color or Race - W

5. Single, Married, Widowed, Divorced - Married

6. Date of Birth - July 14, 1908

7. Age - 20 years, 3 days

8. Occupation - Housekeeping, at home

9. Birthplace - Tennessee

10. Name of Father - Robt. Cox

11. Birthplace of Father - Tennessee

12. Name of Mother - Sarah Branson

13. Birthplace of Mother - Tennessee

14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE: Etho Knott, Informant

15. Filed August 8, 1928, Essie Rhodes, Registrar

MEDICAL CERTIFICATE OF DEATH

16. Date of death - July 17, 1928

17. I HEREBY CERTIFY, That I attended deceased from July 8, 1928 to July 17, 1928, that I last saw her alive on July 17 1928, and that death occurred, on the date above, at 4 p.m. The CAUSE OF DEATH was as follows: Acute dysentery and premature confinement. Signed: B.D. Caldwell, M.D. 7/18/1928, Milan, Tenn.

18. (blank)

19. Place of Burial or Removal - Poplar Springs; Date of Burial - 7/18/1928

20. Undertaker - G. L. Bodkin, Milan, Tenn.