DEATH CERTIFICATE

WILLIAM CASEBOLT

Date    13 July 1917
Cert: # 20221
Name: William CASEBOLT
Male, White, Married
Age: 45 years, 03 months, 21 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date: 17 April 1872                                           Occupation: Farmer
Place of Birth: Kentucky
Father: James TERRY                                                 Birthplace Father: Kentucky
Mother: Manerva CALHOUN                                                  Birthplace Mother: Kentucky
Informant: Silas BROWN, Elmrock
Death Date: 13 July 1917
Cause of Death: Pneumonia fever in both lungs
Signed:  M. F. Kelley, M.D.
Burial Place: Casebolt Cemetery
Undertaker: John Casebolt, Elmrock
File Date: 14 July 1917
Transcribed by Debbie Tamborski, 30 October 2008