DEATH CERTIFICATE

Stillbirth BLEVINS

Date 2 May 1912
Deathvol
Vol:   1912
Cert: # 13186
Name: (Stillbirth) BLEVINS
Female, White, Single
Age: 0 years, 0 months, 0 days
Place of Death: Voting Pct No. #7, Hollybush, Knott Co., KY
Birth Date: 2 May 1912
Place of Birth: Knott Co., KY
Father: Emmit BLEVINS                                             Birthplace Father: N.C.
Mother: Hulda SLONE                                               Birthplace Mother: Knott Co., KY
Informant: A.J. TRIPLETT
Death Date: 2 May 1912
Cause of Death: Stillbirth
Signed:   T.J. Chandler, M.D.
Burial Place: Alice Slone Cemetery
Undertaker: A.J. Slone
File Date: 8 May 1912
Transcribed by Debbie Tamborski, 13 June 2008