DEATH CERTIFICATE

JERRY BATES

Date   15 December 1936
Cert:  33614 
Name:  Jerry BATES
Place of Death: Voting Pct. 14, Knott Co., KY
Male, White
Birth Date:  05 December 1936
Age: 00 years, 00 months, 10 days
Occupation:  Infant
Place of Birth:  Knott Co.
Name of Father:  Carl BATES
Birthplace Father:  Knott Co. 
Maiden Name of Mother:  Ola ISAAC
Birthplace Mother:  Knott Co. 
Informant:  A. L. THORNSBERRY, Kite, Ky. 
Death Date:  15 December 1936 
Cause of Death:   Bole Hives 
Signed:  (blank)
Burial Place:  Jess BATES
Date of Burial:  16 December 1936
Undertaker:  Lewis Thornsby, Kite, Ky/
File Date:  08 January 1937
Transcribed by Debbie Tamborski, 16 September 2009