DEATH CERTIFICATE
MARK BEVERLY

Date    14 March 1919
Cert: #  11172
Name:  Mark BEVERLY
Male, White, Child
Age:  09 years (transcribed as written)
Place of Death: Voting Precinct #6, Knott Co., KY  
Birth Date:  19 June 1918                                 
Place of Birth:  Kentucky                 
Father:  Henry BEVERLY                                             Birthplace Father:  Knott Co., Ky.
Mother:  Louiza COMBS                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  Jethiara BEVERLY, Smithsboro, Ky.
Death Date:  14 March 1919
Cause of Death:  Bowel Trouble
Signed:  (not listed)
Burial Place:  Hiram Adams
Undertaker:  Henry Beverly, Jeff, Ky.
File Date: 15 March 1919
Transcribed by Debbie Tamborski, 28 October 2008