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DEATH
CERTIFICATE
THOMAS W. BREEDING
Date 09 June 1913
Cert: 16419
Place of Death: Voting Precinct: #3 Deane, Letcher Co., Ky.
Full Name: Thomas W. BREEDING
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 01 February 1913
Age: 04 months, 09 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: John BREEDING
Birthplace Father: Letcher Co.
Maiden name of Mother: Bertie HALL
Birthplace Mother: Knott Co.
Informant/Address: Wm. BREEDING, Hall, Ky.
Filed: 17 June 1913
Registrar: Geo. W. Hammons
Death Date: 09 June 1913
I hereby certify that I attended deceased from 08 June 1913, to
09 June 1913, that I last saw him alive on 09 June 1913, and
that death occurred, on the date stated above, at 2 a.m.
Cause of Death: Cholera Infantum
Duration: 10 days
Contributory: unknown
Signed/Address: T. A. Cook, 16 June 1913
Place of Burial or Removal: Thomas Hall's
Date of Burial: 10 June 1913
Undertaker/Address: Thomas Hall, Hall, Ky.
Transcribed by Debbie Tamborski, 24 February 2010 |
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