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DEATH
CERTIFICATE
CISERO ANDERSON
Date 01 January 1922
Cert: # 16119
Name: Cisero ANDERSON
Place of Death: Vot. Pct. Head of Beaver, Omaha, Knott Co., KY
Male, White, Married
Birth Date: 1867
Age: 55 years
Occupation: Farmer
Place of Birth: Va.
Name of Father: Dont know
Birthplace Father: Va.
Maiden Name of Mother: Dont know
Birthplace Mother: Va.
Informant: Mrs. Cisero Anderson, Omaha, Ky.
Death Date: 01 January 1922
Cause of Death: Lobor Pneumonia
Signed: T. A. Cook, M.D.
Burial Place: Farm of Cisero Anderson
Date of Burial: 02 January 1922
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 08 December 2008 |
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