DEATH CERTIFICATE

BENETT BACK

Date    13 June 1916
Cert: #  15889
Name:  Benett BACK
Male, White
Age:  1 month, 2 days
Place of Death: Voting Prec. #2, Knott Co., KY
Birth Date:  15 May 1916               
Place of Birth:  Knott Co., Ky.
Father:  Loyd BACK                                                   Birthplace Father:  Letcher Co., Ky.
Mother:  Cora CAUDILL                                                  Birthplace Mother:  Ky.
Informant:  David STURGILL, Pinetop, Ky.
Death Date:  13 June 1916
Cause of Death:  (not listed)
Signed:  (not listed)
Burial Place:  Letcher Co., Ky.
Undertaker:  (not listed)
File Date: 14 June 1916
Transcribed by Debbie Tamborski, 26 October 2008