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DEATH
CERTIFICATE
JOHN L. BACK
Date 11 March 1936
Cert: 8348
Name: John L. BACK
Place of Death: Voting Pct. 1, Hindman, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Lenore BACK
Birth Date: 11 March 1865
Age: 81 years
Occupation: Farmer
Place of Birth: Letcher Co., Ky.
Name of Father: Sam BACK
Birthplace Father: Va.
Maiden Name of Mother: Rhoda Day
Birthplace Mother: Va.
Informant: (blank)
Death Date: 11 March 1936
Cause of Death: Chronic nephritis
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Roxanne, Ky.
Date of Burial: 12 March 1936
Undertaker: Sam Back, Hindman, Ky.
File Date: 18 April 1936
Transcribed by Debbie Tamborski, 16 September 2009 |
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