DEATH CERTIFICATE

HARRISON BATES

Date  30 January 1921
Cert: #  1625
Name:  Harrison BATES
Place of Death: Voting Pct. #14, Knott Co., KY
Male, White
Birth Date:  27 December 1905
Age: 15 years, 01 months, 02 days   
Occupation:  Farmer
Place of Birth:  Knott
Name of Father:  Tildon BATES
Birthplace Father:  Knott
Maiden Name of Mother:  Sisie HALL
Birthplace Mother:  Knott
Informant:  M. D. HALL, Kite
Death Date:  30 January 1921 
Cause of Death:  Arcipless [sic]
Signed:  (blank)
Burial Place:  Harrison Hall
Date of Burial:  31 January 1921
Undertaker:  (blank) Puncheon, Ky. 
File Date:  05 February 1921
Transcribed by Debbie Tamborski, 09 December 2008