DEATH CERTIFICATE

CHLOE CAMPBELL

Date    12 October 1911
Deathvol Vol:   1911
Cert: # 27406
Name: Chloe CAMPBELL
Female, White, Single
Age: 3 years, 3 months, 1 day
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date: 11 July 1908
Place of Birth: Ky.
Father: Farmer CAMPBELL                                                 Birthplace Father: Ky.
Mother: Lilliebell BAKER                                             Birthplace Mother: Ky.
Informant: Not Listed
Death Date: 12 October 1911
Cause of Death: Pneumonia
Signed:  C. C. Durham, M.D.
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 11 November 1911
Transcribed by Debbie Tamborski, 19 June 2008