DEATH CERTIFICATE

GROVER CHILDRES

Date    04 April 1917
Cert: # 11640
Name: Grover CHILDRES
Male, White, Married
Age: 32 years, 04 months, 22 days
Place of Death: Voting Precinct #1, Knott Co., KY
Birth Date: 18 November 1884                                Occupation: Farmer
Place of Birth: Knott Co., Ky.
Father: Golden CHILDRES                                          Birthplace Father: Kentucky
Mother: Lizzie WICKER                                                     Birthplace Mother: Kentucky
Informant: (not listed)
Death Date: 04 April 1917
Cause of Death: Tuberculosis of lungs
Signed:  M. F. Kelley, M.D.
Burial Place: Childres Cemetery
Undertaker: Golden Childres, Leburn, Ky.
File Date: 10 May 1917
Transcribed by Debbie Tamborski, 30 October 2008