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DEATH
CERTIFICATE
GENEVA BEVERLY
Date 25 July 1936
Cert: 19714
Name: Geneva BEVERLY
Place of Death: Voting Pct. Lower Jones Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Married
Husband or Wife of: (blank)
Birth Date: 05 October 1917
Age: 18 years, 09 months, 20 days
Occupation: Housekeeping for self
Place of Birth: Knott Co., Ky.
Name of Father: Elder HICKS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Mertie SPARKMAN
Birthplace Mother: Knott Co., Ky.
Informant: Dingus BEVERLY, Mousie
Death Date: 25 July 1936
Cause of Death: Pneumonia
Signed: W. L. Stumbo, M.D. Lackey, Ky.
Burial Place: (B??? illegible) Cemetery
Date of Burial: 26 July 1936
Undertaker: none
File Date: 01 August 1936
Transcribed by Debbie Tamborski, 16 September 2009 |
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