DEATH CERTIFICATE

FRED P. CAMPBELL

Date  13 October 1912
Cert: #  26087 
Name:  Fred P. CAMPBELL 
Male, White, Single
Age:  13 years, 08 months, 03 days
Place of Death: Voting Precinct Williard, Yerkes, Perry Co., KY
Birth Date:  13 October 1912 
Occupation:  School boy 
Place of Birth:  Perry Co., Ky. 
Name of Father:  E D CAMPBELL 
Birthplace Father:  Perry Co., Ky. 
Maiden Name of Mother:  Elizabeth CAMPBELL 
Birthplace Mother:  Perry Co., Ky. 
Informant:   G. W. CAMPBELL, Viper, Ky. 
Death Date:  13 October 1912 
Cause of Death:  acute catarrhal dysentery 
Signed:  G. W. Campbell, M.D.
Burial Place:  Mouth of Pigeon Roost family graveyard 
Date of Burial:   13 October 1912 
Undertaker:  neighbors 
File Date:  15 October 1912 
Transcribed by Debbie Tamborski, 02 December 2008