Certificate of Death

Lyine Cox Knott
submitted by

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.