|
DEATH
CERTIFICATE
CARLAS RONALD CHAFINS
Date 02 June 1938
Cert: 30836
Name: Carlas Ronald CHAFINS
Place of Death: Voting Pct. Rock Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
White, Single
Husband or Wife of: (blank)
Birth Date: 22 February 1938
Age: 03 months, 10 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Oliver CHAFINS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Roxie BOLEN
Birthplace Mother: Garret, Ky., Knott Co.
Informant: Oliver CHAFINS, Garrett, Ky.
Death Date: 02 June 1938
Cause of Death: Pneumonia Fever
Signed: Mark Dempsey, M.D., Garrett, Ky.
Burial Place: Garrett, Ky.
Date of Burial: 03 June 1938
Undertaker: none
File Date: 20 December 1938
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 11 October 2009 |
|