DEATH CERTIFICATE

EM COOK

Date  22 March 1912
Cert: #  8360
Name:  Em COOK
Male, White, Married
Age:   about 45
Place of Death: Voting Precinct #5 Viper, Perry Co., KY
Birth Date:  unknown about 45 
Occupation:  Farmer 
Place of Birth:  Kentucky 
Name of Father:  Jake COOK 
Birthplace Father:  unknown
Maiden Name of Mother:  unknown 
Birthplace Mother:  unknown 
Informant:   Eli HALL, Viper, Ky. 
Death Date:  22 March 1912 
Cause of Death:  Shotgun fired by Charles Caudill killed inst 
Signed:  (blank)
Burial Place:  Letcher Co., Rockhouse 
Date of Burial:   24 March 1912 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 01 December 2008