Cecil Burn Death Certificate

transcribed by Sandy Daniel

From State of Tennessee death certificate, volume 43, page 209

Name: Cecil Burns
Date Of Death: April 23, 1922
Place Of Death: Perry Co., Lobelville, TN
Gender: Male
Race: W
Age: 19
Marital Status: not listed
Spouse: none listed
Date Of Birth: not listed
Place Of Birth: Perry Co, Tennessee
Mother’s Name: Fannie Talley
Mother’s Birthplace: Perry Co., Tennessee
Father’s Name: John Burns
Father’s Birthplace: Perry Co., Tennessee
Cause Of Death: Pistol Shot, had no doctor he lived only two or three minutes after he was shot
Informant: Bob Burns, Lobelville, TN
Date Of Burial: April 25, 1922
Place Of Burial: Leeper Cemetery
Undertaker: Homemade Casket
Date Recorded: no date (just says Lobelville, 1922) by W. A. Bone, registrar
Source Of Record: copy of certificate of death
Certificate No.: 209 (Copy from TN State Library & Archives)

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