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DEATH
CERTIFICATE
FRED BEVERLY
Date 17 September 1920
Cert: # 22926
Name: Fred BEVERLY
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Child
Birth Date: 08 April 1920
Age: 06 months, 09 days
Occupation: (blank)
Place of Birth: Perry Co., Ky.
Name of Father: Henry BEVERLY
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Louiza COMBS
Birthplace Mother: Knott Co., Ky.
Informant: Dennie OWENS, Smithsboro, Ky.
Death Date: 17 September 1920
Cause of Death: Dierhea [sic]
Signed: Dr. Snyder, M.D.
Burial Place: Hiram Adams
Date of Burial: 19 September 1920
Undertaker: Henry Beverly, Diablock, Ky.
File Date: 19 September 1920
Transcribed by Debbie Tamborski, 10 December 2008 |
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