Death Certificate
of
Allen Green McCollum
Submitted by

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???)