DEATH CERTIFICATE

DANIEL CASEBOLT

Date    22 July 1919
Cert: # 23804
Name: Daniel CASEBOLT
Male, White, Married
Age: 52 years, 0 months, 19 days
Place of Death: Voting Precinct #9, Leburn, Knott Co., KY
Birth Date: 03 July 1867                                           Occupation: Farmer
Place of Birth: Kentucky
Father: William TERRY                                               Birthplace Father: Kentucky
Mother: Minda COMBS                                                       Birthplace Mother: Kentucky
Informant: (not listed)
Death Date: 22 July 1919
Cause of Death: Malignant sarcoma of the stomach
Signed:  M. F. Kelley, M.D.
Burial Place: Casebolt Cemetery
Undertaker: Riley Casebolt, Leburn, Ky.
File Date: 20 August 1919
Transcribed by Debbie Tamborski, 30 October 2008