CERTIFICATE OF DEATH
STATE OF TENNESSEE

Minnie Lee Wilson Davenport

Contributed by
Great Granddaughter of Minnie Lee Wilson Davenport


File Number: 313
Registered Number: 88
Place of Death: Dyersburg
Civil District: 4
Village: Dyersburg
Registration District Number: 231
Primary Registration District No: 4

Name: Minnie Lee Davenport

Personal and Statistical Particulars
3. Sex : Female
4. Color or Race: White
5. Marital Status: Married
6. Date of Birth: Unknown
7. Age: Unknown
8. Occupation: Housekeeper
9. Birthplace: Don’t Know
10. Name of Father: Don’t Know
11. Birthplace of Father: Don’t Know
12. Maiden Name of Mother: Don’t Know
13. Birthplace of Mother: Don’t Know
14. The above is true to the best of my knowledge: (Informant) Joel Curry Address Dyersburg, Tenn
15. Filed: Nov 10, 1918 Registrar W.H. Ward

Medical Certificate of Death
16. Date of Death: Oct. 15, 1918
17. I hereby Certify, that I attended deceased from Oct 10, 1918 to Oct 15, 1918 and that I last saw her alive on the date above and the death occurred at ____(line through it).
The Cause of death was as follows: Bronchial Pneumonia
Signed Dr. P.E. Miller
Address Bonicord, Tenn

18. Length of Residence: Left Blank
19. Place of Burial or Removal Baileys Chapple
Date of Burial: Oct 15, 1918
20. Undertaker: Joel Curry
Address: Dyersburg

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© 2004 - Tammy Martin

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