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DEATH
CERTIFICATE
NELLA CLOXTON
Date 16 May 1926
Cert: 27749
Place of Death: Voting Precinct: #20, Perry Co., Ky.
Full Name: Nella CLOXTON
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 19 August 1924
Age: 08, months, 27 days
Occupation: None
Birthplace: Knott Co., Ky.
Name of Father: Riley CLOXTON
Birthplace Father: Tenn.
Maiden name of Mother: Kizzie SILCOX
Birthplace Mother: Tenn.
Informant/Address: Riley CLOXTON, Blue Diamond, Ky.
Filed: 04 December 1925
Registrar: C. C. Rogers
Death Date: 16 May 1925
I hereby certify that I attended deceased from 08 May 1925, to
16 May 1925, that I last saw her alive on 16 May 1925, and
that death occurred, on the date stated above, at 8 p.m.
Cause of Death: Bronchial pneumonia
Duration: 04 days
Contributory: Whooping Cough
Duration: 10 days
Signed/Address: W. H. Hobbs, M.D., 17 May 1925, Blue
Diamond, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 21 March 2010 |
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