DEATH CERTIFICATE

JIM BATES

Date 15 June 1931
Cert: #  17563
Name:  Jim BATES
Place of Death: Voting Pct. #14, Knott Co., KY
Male, White, Married
Husband or Wife of:  (blank)
Birth Date:  15 June 1894
Age: 37 years, 00 months, 00 days
Occupation: Farming
Place of Birth: Knott Co.
Name of Father:  (blank)
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  Lewis THORNSBY, Kite, Ky.
Death Date:  15 June 1931
Cause of Death:  Typhoyd Fever [sic]
Signed: (blank)
Burial Place:  Linsey King
Date of Burial:  17 June 1931
Undertaker:  Lewis Thornsby, Kite, Ky.
File Date:  05 August 1931
Transcribed by Debbie Tamborski, 25 June 2009