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DEATH
CERTIFICATE
HAZEL BEVERLEY
Date 20 December 1924
Cert: # 28091
Name: Hazel BEVERLEY
Place of Death: Voting Pct. #15, Knott Co., KY
Female, Single
Birth Date: 20 December 1924
Age: Stillborn
Occupation: non
Place of Birth: Anco, Knott Co., Ky.
Name of Father: Thomas BEVERLEY
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Matilda JOHNSON
Birthplace Mother: Knott Co., Ky.
Informant: W. B. HOPKINS, Anco, Ky.
Death Date: 20 December 1924
Cause of Death: Stillborn. Cause unknown
Signed: W. B. Hopkins, M.D.
Burial Place: Anco, Ky.
Date of Burial: 20 December 1924
Undertaker: non
File Date: 28 December 1924
Transcribed by Debbie Tamborski, 10 December 2008 |
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