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DEATH
CERTIFICATE
SARAH ELLEN BOLEN
Date 07 December 1922
Cert: # 27763
Name: Sarah Ellen BOLEN
Place of Death: Voting Pct. #2, Knott Co., KY
Female, White
Birth Date: 05 December 1922
Age: 02 days
Occupation: (blank)
Place of Birth: Ky.
Name of Father: E. L. BOLEN
Birthplace Father: Ky.
Maiden Name of Mother: Mattie COLLINS
Birthplace Mother: Ky.
Informant: H. H. COLLINS, Pinetop, Ky.
Death Date: 07 December 1922
Cause of Death: (blank)
Signed: (blank)
Burial Place: W. S. Amburgey
Date of Burial: 08 December 1922
Undertaker: H. H. Collins, Pinetop, Ky.
File Date: 08 December 1922
Transcribed by Debbie Tamborski, 10 December 2008 |
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