DEATH CERTIFICATE
(stillborn) BURNS

Date    12 November 1911
Deathvol Vol:   1911
Cert: #  30287
Name:  (stillborn) BURNS
Male, White
Age: 
Place of Death: Voting Pct. Bowling, Perry Co., KY
Birth Date:  12 November 1911
Place of Birth:  Buckhorn
Father:  Chester BURNS                                                 Birthplace Father: Ousley Co.
Mother:  Ellie MARUH                                                Birthplace Mother: Perry Co.
Informant:  Delillie MCINTOSH
Death Date:  12 November 1911
Cause of Death:  Stillborn caused by fright
Signed:  Not Listed
Burial Place:  Buckhorn, Ky.
Undertaker:  Chester Burns
File Date: 16 November 1911
Transcribed by Debbie Tamborski, 19 June 2008