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DEATH
CERTIFICATE
ARLIE BEVERLY
Date 13 October 1931
Cert: # 24903
Name: Arlie BEVERLY
Place of Death: Voting Pct. #4, Knott Co., KY
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: 12 April 1930
Age: 01 years, 05 months, 01 days
Occupation: Infant
Place of Birth: Kentucky
Name of Father: Manford BEVERLY
Birthplace Father: Ky.
Maiden Name of Mother: Sarah SHEPHERD
Birthplace Mother: Ky.
Informant: Abe SHEPARD, Elmrock, Ky.
Death Date: 13 October 1931
Cause of Death: Bloody Dysentery--no physician present
Signed: (blank)
Burial Place: Shepard Cemetery
Date of Burial: 14 October 1931
Undertaker: Kilse Handshoe, Elmrock, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 25 June 2009 |
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