|
DEATH
CERTIFICATE
MARRY BATES
Date 15 September 1921
Cert: # 20007
Name: Marry BATES
Place of Death: Voting Pct. #3 Dry Creek, Knott Co., KY
Female, White
Birth Date: 16 July 1919
Age: 02 years, 01 months, 30 days
Occupation: (blank)
Place of Birth: Knott
Name of Father: Jerry BATES
Birthplace Father: Knott Co.
Maiden Name of Mother: Nancy MULLINS
Birthplace Mother: Knott Co.
Informant: Jerry BATES, Dry Creek, Ky.
Death Date: 15 September 1921
Cause of Death: Typhoid Fever
Signed: E. F. King, M.D.
Burial Place: Jesse Bates Cemetery
Date of Burial: 16 September 1921
Undertaker: (blank)
File Date: 10 September 1921
Transcribed by Debbie Tamborski, 09 December 2008 |
|