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DEATH
CERTIFICATE
LAWRENCE J. BACK
Date 11 May 1935
Cert: 12799
Name: Lawrence J. BACK
Place of Death: Voting Pct. Middle Carr #3, Knott Co., KY
Residence: Cody, Ky.
Length of residence: (blank)
Male, White
Husband or Wife of: Infant
Birth Date: 13 February 1935
Age: 03 months
Occupation: (blank)
Place of Birth: Cody, Ky.
Name of Father: Henry BACK
Birthplace Father: Letcher Co., Ky.
Maiden Name of Mother: Martha WITT
Birthplace Mother: Letcher Co., Ky.
Informant: Joe HAGANS, Redfox, Ky.
Death Date: 11 May 1935
Cause of Death: Hemophilia
Signed: (blank)
Burial Place: Hylton Cemetery
Date of Burial: 12 May 1935
Undertaker: (blank)
File Date: 14 May 1935
Transcribed by Debbie Tamborski, 12 August 2009
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