DEATH CERTIFICATE

JOHN M. COOK

Date    11 April 1915
Deathvol Vol:   19165
Cert: #  12028
Name:  John M. COOK
Male, White
Age:  18 years, 7 months, 14 days
Place of Death: Voting Pct. Dema, Beaver, Knott Co., KY
Birth Date:  27 August 1897                                       Occupation:  Laborer
Place of Birth:  Knott Co.
Father:  Jerry COOK                                                   Birthplace Father:  Ky.
Mother:  Rosa CAUDILL                                                      Birthplace Mother:  Knott
Informant:  Jerry COOK, Dema, Ky.
Death Date:  11 April 1915
Cause of Death:  Tuberculosis of Lungs
Signed:  (Blank)
Burial Place:  Dry Creek
Undertaker:  Jerry Cook, Dema, Ky.
File Date: (Blank)
Transcribed by Debbie Tamborski, 01 August 2008