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DEATH
CERTIFICATE
HELLEN LUCILLE CASEBOLT
Date 11 March 1937
Cert: 8419
Name: Hellen Lucille CASEBOLT
Place of Death: Voting Pct. Lower Jones Fork, Lackey, S. M.
Hospital, Knott Co., KY
Residence: Mousie, Kentucky
Length of residence: (blank)
Female, White, Married
Husband or Wife of: Wife
Birth Date: (blank)
Age: 23 years, 03 months, 13 days
Occupation: (blank)
Place of Birth: Bryson City, N.C.
Name of Father: V. E. QUITH
Birthplace Father: Tennessee
Maiden Name of Mother: Elizabeth ALMOND
Birthplace Mother: Bryson City, N.C.
Informant: V. E. QUITH, (Illegible) Kentucky
Death Date: 11 March 1937
Cause of Death:(Blood Stream) Infection caused from Child
Birth
Signed: John B. Looney, M.D., Lackey, Ky.
Burial Place: Casebolt
Date of Burial: 12 March 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 30 April 1937
Registrar: G. C. Collins
Transcribed by Debbie Tamborski, 23 September 2009 |
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