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DEATH
CERTIFICATE
LEE DALE COOK
Date 22 April 1928
Cert: # 17941
Name: Lee Dale COOK
Place of Death: Voting Pct. #15, Knott Co., KY
Female, White, Single
Birth Date: 26 December 1924
Age: 03 years, 03 months, 26 days
Occupation: Non
Place of Birth: Perry Co., Ky.
Name of Father: Miles COOK
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Ettia TOLLIVER
Birthplace Mother: Knott Co., Ky.
Informant: Miles COOK, Vicco, Ky.
Death Date: 22 April 1928
Cause of Death: Ruptured appendix
Signed: Arthur Vanderwest, M.D.
Burial Place: Robert S. Cornett
Date of Burial: 23 April 1928
Undertaker: Miles Cook, Vicco, Ky.
File Date: 22 May 1928
Transcribed by Debbie Tamborski, 27 December 2008 |
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