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DEATH
CERTIFICATE
unnamed stillborn
Date 18 January 1933
Cert: # Duplicate #26757 Original
#4642
Name: unnamed stillborn
Place of Death: Voting Pct. Upper Jones Fork, Knott Co., KY
Residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 18 January 1933
Age: 00 years, 00 months, 00 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Willie CONLEY
Birthplace Father: Knott Co.
Maiden Name of Mother: Martha RAMEY
Birthplace Mother: Knott Co.
Informant: Frank MOORE, Mousie
Death Date: 18 January 1933
Cause of Death: Prolonged labor
Signed: T. J. Chandler, M.D., Lackey, Ky.
Burial Place: Ball Branch Cem.
Date of Burial: 19 January 1933
Undertaker: Frank Moore, Mousie
File Date: 06 December 1933
Transcribed by Debbie Tamborski, 10 July 2009 |
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