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DEATH
CERTIFICATE
OKA BEVERLY
Date 14 March 1935
Cert: 7420
Name: Oka BEVERLY
Place of Death: Voting Pct. Upper Jones Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 04 July 1908
Age: 26 years, 08 months, 10 days
Occupation: Helper at Parents, Farming
Place of Birth: Knott Co., Ky.
Name of Father: Maryland BEVERLY
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Ciatti GIBSON
Birthplace Mother: Knott Co., Ky.
Informant: Maryland BEVERLY, Mousie, Ky.
Death Date: 14 March 1935
Cause of Death: Pulmonary T.B.
Signed: J. W. Duke, M.D., Hindman, Ky.
Burial Place: Martin Branch Cem.
Date of Burial: 16 March 1935
Undertaker: none
File Date: 22 March 1935
Transcribed by Debbie Tamborski, 12 August 2009
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