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DEATH
CERTIFICATE
PATTY JANE BATES
Date 11 October 1939
Cert: 27964
Name: Patty Jane BATES
Place of Death: Knott Co., Lackey, Ky.,
Stumbo Memorial Hospital
Residence: Floyd Co., KY, Weeksbury
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 27 September
Age: 03 years, 15 days
Birthplace: Weeksbury
Occupation: (blank)
Name of Father: Columbus BATES
Birthplace Father: Knott Co.
Maiden Name of Mother: Celeste HALL
Birthplace Mother: Knott Co.
Informant: Columbus BATES, Weeksbury, Ky.
Death Date: 11 October 1939
Cause of Death: Polionyilitis
Other Conditions: (illegible) paralysis
Signed: C. B. Ison, M.D., Lackey, Ky. 13 October
1939
Burial Place: May, Ky.
Date of Burial: 12 October 1939
Undertaker: G. D. Ryan, Martin, Ky.
File Date: (blank)
Registrar: (blank)
Transcribed by Debbie Tamborski, 10 November 2009 |
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