DEATH CERTIFICATE

SALLIE BEVERLY

Date    21 October 1918
Cert: #  29225
Name:  Sallie BEVERLY
Female, White, Child
Age:  09 years
Place of Death: Voting Precinct #6, Knott Co., KY  
Birth Date:  1909                              
Place of Birth:  Knott Co., Ky.                     
Father:  Thomas BEVERLY                                          Birthplace Father:  Knott Co., Ky.
Mother:  Tilda JOHNSON                                                     Birthplace Mother:  Knott Co., Ky.
Informant:  Thomas BEVERLY, Jeff, Ky.
Death Date:  21 October 1918
Cause of Death:  Dysentery or flux
Signed:  (not listed)
Burial Place:  Davis Franklins
Undertaker:  Thomas Beverly, Jeff, Ky.
File Date: 22 October 1918
Transcribed by Debbie Tamborski, 28 October 2008