DEATH CERTIFICATE

MARY BREEDING

Date   15 October 1936
Cert:  33625 
Name:  Mary BREEDING
Place of Death: Voting Pct. Middle Carr #3, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank)
Female, White, Infant
Husband or Wife of:  Infant
Birth Date:  30 May 1936 
Age: 04 months, 15 days
Occupation:  Infant
Place of Birth:  Ky.
Name of Father:  Johnie BREEDING
Birthplace Father:  Ky. 
Maiden Name of Mother:  Lulia COLLINS
Birthplace Mother:  Ky. 
Informant:  John BREEDING, Redfox, Ky. 
Death Date:  15 October 1936 
Cause of Death:   Derhea [sic] 
Signed:  (blank)
Burial Place:  Home Cemetery
Date of Burial:  16 October 1936
Undertaker:  (blank)
File Date:  06 January 1937
Transcribed by Debbie Tamborski, 16 September 2009