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DEATH
CERTIFICATE
Not Named
Date 25 November 1935
Cert: 30793
Name: Not Named
Place of Death: Voting Pct. #1, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 21 November 1935
Age: (blank)
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: John COLLINS
Birthplace Father: Knott Co.
Maiden Name of Mother: Margaret HICKS
Birthplace Mother: Knott Co.
Informant: John COLLINS, Softshell, Ky.
Death Date: 25 November 1935
Cause of Death: Lobar pneumonia
Signed: M. F. Kelly, M.D., Hindman, Ky.
Burial Place: Knott Co.
Date of Burial: 26 November 1935
Undertaker: John Collins, Softshell, Ky.
File Date: 15 December 1935
Transcribed by Debbie Tamborski, 12 August 2009
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