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DEATH
CERTIFICATE
TOBIE CLARK
Date 21 February 1926
Cert: # 31717
Name: Tobie CLARK
Place of Death: Voting Pct. #20, Knott Co., KY
Male, Colored, Married
Husband or Wife of: Gessie CLARK
Birth Date: 15 March 1888
Age: 37 years, 11 months, 06 days
Occupation: Coal miner
Place of Birth: Wilkes Co., Georgia
Name of Father: Edmond CLARK
Birthplace Father: Elbert Co., Ga.
Maiden Name of Mother: Delsie CLARK
Birthplace Mother: Elbert Co., Ga.
Informant: W. B. Hopkins, Anco, Ky.
Death Date: 21 February 1926
Cause of Death: Typhoid fever hemorrhage
Signed: W. B. Hopkins, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 12 December 2008 |
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