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DEATH
CERTIFICATE
NESBY BREWER
Date 11 December 1911
Cert: # 5741
Name: Nesby BREWER
Female, White, Single
Age: 03 years, 01 months, 11 days
Place of Death: Voting Precinct #4 Hazard, Perry Co., KY
Birth Date: 30 October 1908
Occupation: (blank)
Place of Birth: Hazard, Perry Co., KY
Name of Father: Jack BREWER
Birthplace Father: Perry Co., Ky.
Maiden Name of Mother: Martha NAPIER
Birthplace Mother: Perry Co., Ky.
Informant: (blank)
Death Date: 11 December 1911
Cause of Death: Brain fever
Signed: J. C. Sumner, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 19 March 1912
Transcribed by Debbie Tamborski, 01 December 2008 |
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