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DEATH
CERTIFICATE
FLORA GERTIE BENTLEY
Date 21 April 1937
Cert: 19113
Name: Flora Gertie BENTLEY
Place of Death: Voting Pct. #19 Lackey, Knott Co., KY
Residence: Martin, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 02 years, 11 months, 11 days
Occupation: (blank)
Place of Birth: Langely, Ky.
Name of Father: Ebb BENTLEY
Birthplace Father: Langely, Ky.
Maiden Name of Mother: Cintha BENTLEY
Birthplace Mother: Risner, Ky.
Informant: Ebb BENTLEY, Martin, Ky.
Death Date: 21 April 1937
Cause of Death: Spinal meningitis
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Wilson, Ky.
Date of Burial: 22 April 197\37
Undertaker: G. D. Ryan, Martin, Ky.
File Date: Dr. G. C. Collins, Lackey, Ky.
Registrar:
Transcribed by Debbie Tamborski, 23 September 2009 |
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