DEATH CERTIFICATE

CISRO ANDERSON

Date  05 January 1922
Cert: #  1761
Name:  Cisro ANDERSON
Place of Death: Vot. Pct.  #14, Knott Co., KY
Male, White
Birth Date:  1868
Age: 54 years
Occupation:  Farmer
Place of Birth:  Va.
Name of Father:  (blank)
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  Green AMBURGEY, Kite, Ky.
Death Date:  05 January 1922
Cause of Death: New marnie fever [sic]
Signed:  (blank)
Burial Place:  Anderson
Date of Burial:  07 January 1922
Undertaker:  Green Amburgey, Kite, Ky.
File Date:  07 January 1922
Transcribed by Debbie Tamborski, 08 December 2008