DEATH CERTIFICATE

CLAUDE BAKER

Date    11 October 1914
Deathvol Vol:   1915
Cert: #  28722
Name:  Claude BAKER
Male, White, Single
Age:  1 years, 2 months
Place of Death: Voting Pct. No. 1, Hindman, Knott Co., KY
Birth Date:  25 August 1913
Place of Birth:  Hindman
Father:  G. C. BAKER                                                   Birthplace Father:  Kentucky
Mother:  Clair AMBURGEY                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  R. H. AMBURGEY, Hindman, Ky.
Death Date:  11 October 1914
Cause of Death:  Bronco Pneumonia
Signed:  J. W. Duke, M.D.
Burial Place:  (Illegible)
Undertaker:  (Illegible)
File Date: 30 December 1915
Transcribed by Debbie Tamborski, 24 July 2008