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DEATH
CERTIFICATE
BEULAH GENE BATES
Date 19 August 1933
Cert: # 26759
Name: Beulah Gene BATES
Place of Death: Voting Pct. Beaver, Knott Co., KY
Residence: Dema, Ky.
Female, White, Child
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 01 years, 06? months
Occupation: (blank)
Place of Birth: Dema, Ky.
Name of Father: Fred BATES
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Lula LITTLE
Birthplace Mother: Floyd Co., Ky.
Informant: Mrs. W. J. Hall, Dema, Ky.
Death Date: 19 August 1933
Cause of Death: (illegible) cause of death dysentery
amebic
Signed: N. N. Collins, M.D., Lackey, Ky.
Burial Place: Dema, Ky.
Date of Burial: 21 August 1933
Undertaker: Family, Dema, Ky.
File Date: 06 December 1933
Transcribed by Debbie Tamborski, 08 July 2009 |
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