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DEATH
CERTIFICATE
JANIE BANKS
Date 12 July 1923
Cert: 18070
Place of Death: Voting Precinct: Antioch, Ligon, Floyd
Co., Ky.
Full Name: Janie BANKS
Sex, Color or Race, Marital Status: Female, White,
(blank)
Date of Birth: 11 August 1922
Age: 11 months, 01 days
Occupation: (blank)
Birthplace: Knott County
Name of Father: Harvey BANKS
Birthplace Father: Floyd Co.
Maiden name of Mother: Mary HICKS
Birthplace Mother: Knott County
Informant/Address: Harvey BANKS, Ligon, Ky.
Filed: 10 August 1923
Registrar: Mary A. Vance
Death Date: 12 July 1923
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Measles
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Slone Grave Yard
Date of Burial: 13 July 1923
Undertaker/Address: Will Slone, Ligon, Ky.
Transcribed by Debbie Tamborski, 19 March 2010 |
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