CERTIFICATE OF DEATH
STATE OF TENNESSEE

Registrtation District Number: 231
Primary Registration District No: 4
File Number: 
Registered: 70

1. Place of Death:
   Civil Dist: 4
   County : Dyer
   City: Dyersburg
2. Full name:  Bert Presley
3. Sex: Male
4. Color or Race: White
5. Single, Married, Widowed, or Divorced: Single
6. Date of Birth: 1907
7. Age: 11 yrs.
8. Occupation
  a) Trade, profession, or particular kind of work: Schoolboy
9. Birthplace: Tenn.
10. Name of Father: J. R. Presley
11. Birthplace of Father: Tenn.
12. Maiden Name of Mother: Smith
13. Birthplace of Mother: Ala.
14. The above is true to the best of my knowledge
    (informant): Joe W Curry
    (address): Dyersburg Tenn
15. Filed: 11/10, 191_    W. H. Ward
                           Registrar

16. Date of Death: Oct 11, 1918
17. I hereby certify, that I attended deceased from Oct 10, 1918, to
    Oct 12, 1918, that I last saw him alive on Oct 12, 1916, and that
    death occurred, on the date stated above, at 10 pm.

    The cause of death was as follows: Osteo Myelitis

    (signed) W. P. Waters, M.D.
    Oct 11, 1918 (address) Dyersburg, Tenn

18. Length of Residence (for hospitals, institutions, transients,
                         or recent residents):
19. Place of Burial or Removal: Pleasant Hill   Date of Burial: Oct 12, 1918
20. Undertaker: Joe W Curry   Address: Dyersburg, Tenn.