DEATH CERTIFICATE

CHILD NOT NAMED CHRISTAIN

Date  14 December 1916
Cert: #  30996
Name: Child not named CHRISTAIN
Black, Child
Age:  07 months, 21 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date:  23 April 1916
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  unknown
Birthplace Father:  (blank)
Maiden Name of Mother:  Adaline CHRISTAIN
Birthplace Mother:  Knott Co.
Informant:   Wm. CHRISTAIN, Redfox, Ky. 
Death Date:  14 December 1916
Cause of Death:  Ill from birth cause not known
Signed:  (blank)
Burial Place:  John Hagans
Date of Burial:  14 December 1916
Undertaker:  Wm. Christain, Redfox, Ky.
File Date:  14 December 1916
Transcribed by Debbie Tamborski, 25 November 2008