DEATH CERTIFICATE

ELIZABETH

Date  20 October 1927
Cert: #  28558
Name:  Elizabeth
Place of Death: Voting Pct. #6, Knott Co., KY
Female, Black, Single
Birth Date:  10 September 1877
Age:  50 years,  01 months, 04 days
Occupation:  Housework
Place of Birth:  Knott Co., Ky.
Name of Father:  John COMBS
Birthplace Father:  Letcher Co., Ky.
Maiden Name of Mother:  Liza FRANCIS
Birthplace Mother:  Knott Co., Ky.
Informant:  John COMBS, Cody, Ky.
Death Date:  20 October 1927
Cause of Death:  Neuritis
Signed:  F. C. Roark, M.D.
Burial Place:  John Combs
Date of Burial:  21 October 1927
Undertaker:  (blank)
File Date:  20 December 1927
Transcribed by Debbie Tamborski, 22 December 2008