Death Certificate of Allen Green McCollum

Death Certificate

of

Allen Green McCollum

STATE OF TENNESSEE

Bureau of Vital Statistics

CERTIFICATE OF DEATH

File No. 450, Registered No. 88

1.   Place of Death:  Gibson County, Civil District 14

2.  Full Name: A. G. McColum

3.  Sex:  Male

4.  Color or Race: White

5.  Marital Status: Widowed

6.  Date of Birth: 12-28-1845

7.  Age:  74 years, 8 months, 18 days

8.  Occupation: Farmer

9.  Birthplace: Tenn.

10.  Name of Father: Abner McColum

11.  Birthplace of Father: N. C.

12.  Name of Mother: Catherine Mc

13.  Birthplace of Mother: N. C.

14.  Informant: (Left blank)

15.  Filed: 10/6/1920 by M. C. Boone, Registrar

16.  Date of Death: 9-16-1920

17.  I HEREBY CERTIFY, That I attended deceased from (left blank) to (left blank) and that I last saw him alive on (left blank), and that death occurred on the date stated above at (left blank). The CAUSE OF DEATH was as follows: Tuberculosis.  Signed, A.J. Bryant, M.D., Bradford

18.  Length of Residence: (Left blank)

19.  Place of burial: Bradford

20.  Undertaker: M & O (Which would be Meadows and Overton

(Note:  Mother’s name was simply written as “Catherine Mc.” I don’t know if they were unaware of her maiden name and the Mc stands for McCollum, or if McCollum was also her maiden name???)