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 |
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