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DEATH
CERTIFICATE
WILLIAM CALHOON
Date 22 March 1923
Cert: 08509
Place of Death: Voting Precinct: Little Gap, Johnson
Co., Ky.
Full Name: William CALHOON
Sex, Color or Race, Marital Status: Male, White, (blank)
Date of Birth: 13 January 1839
Age: 82 years, 09 months, 09 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: Unknown
Birthplace Father: (blank)
Maiden name of Mother: (blank)
Birthplace Mother: (blank)
Informant/Address: Willie HALE, Sip
Filed: 26 March 1923
Registrar: J. M. Daniel
Death Date: 22 March 1923
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Old age
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Slone G. Y.
Date of Burial: (blank)
Undertaker/Address: Sexton Clift Justice, Sip, Ky.
Transcribed by Debbie Tamborski, 19 March 2010 |
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