DEATH CERTIFICATE

(stillbirth) COOK

Date    01 May 1917
Cert: #  14740
Name:  (stillbirth) COOK
Female, White
Age:  Stillbirth
Place of Death: Voting Precinct #6, Knott Co., KY  
Birth Date:  01 May 1917           
Place of Birth:  Knott Co.           
Name of Father:  Miles COOK                                      Birthplace Father:  Letcher Co., Ky.
Maiden Name of Mother:  Etta TOLLIVER                              Birthplace Mother:  Letcher Co., Ky.
Informant:  Miles COOK, Smithsboro, Ky.
Death Date:  01 May 1917
Cause of Death:  Cause not known
Signed:  (not listed)
Burial Place:  Lincoln Tolliver                                                 Date of Burial:  02 May 1917
Undertaker:  Miles COOK, Smithsboro, Ky.
File Date: 02 May 1917
Transcribed by Debbie Tamborski, 04 November 2008