DEATH CERTIFICATE

(Stillbirth) CAMPBELL

Date  09 June 1912
Cert: #  21186 
Name:  (Stillbirth) CAMPBELL 
Male
Age: (blank)
Place of Death: Voting Precinct Campbell, Perry Co., KY
Birth Date:  09 June 1912 
Occupation:  (blank) 
Place of Birth:  (blank) 
Name of Father:  James CAMPBELL 
Birthplace Father:  Perry Co., Ky. 
Maiden Name of Mother:  Narsie CAMPBELL 
Birthplace Mother:  Perry Co., Ky. 
Informant:  Betty CAMPBELL, Grapevine
Death Date:  09 June 1912 
Cause of Death:  Stillbirth 
Signed:   (blank)
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker:  (blank) 
File Date:  10 August 1912 
Transcribed by Debbie Tamborski, 02 December 2008