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DEATH
CERTIFICATE
CRETA CASEBOLT
Date 21 February 1933
Cert: # 4645
Name: Creta CASEBOLT
Place of Death: Voting Pct. #11 Jones Fork, Knott Co., KY
Residence: (blank)
Female, White
Husband or Wife of: (blank)
Birth Date: 13 February 1930
Age: 03 years, 00 months, 07 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Kendall CASEBOLT
Birthplace Father: Knott Co.
Maiden Name of Mother: Alma HAYS
Birthplace Mother: Knott Co.
Informant: Frank MOORE, Mousie, Ky.
Death Date: 21 February 1933
Cause of Death: Anti Intoxication of bowels
Contributory: Conveulsion & Ecl.
Signed: N. N. Collins, M.D., Lackey, Ky.
Burial Place: Casebolt Cemetery
Date of Burial: 22 February 1933
Undertaker: Frank Moore, Mousie
File Date: 28 February 1933
Transcribed by Debbie Tamborski, 08 July 2009 |
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