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DEATH
CERTIFICATE
SYLVESTER COOTS
Date 21 May 1912
Cert: # 13689
Name: Sylvester COOTS
Male, White, Married
Age: 85 years, 07 months, 19 days
Place of Death: Voting Precinct #7, Perry Co., KY
Birth Date: 02 October 1826
Occupation: Day laborer
Place of Birth: Virginia
Name of Father: William COOTS
Birthplace Father: France
Maiden Name of Mother: Amy FRANCIS
Birthplace Mother: Kentucky
Informant: William COOTS, Slemp, Ky.
Death Date: 21 May 1912
Cause of Death: Pulmonary tuberculosis
Contributory: Labor Pneumonia
Signed: S. P. Combs, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 23 May 1913
Transcribed by Debbie Tamborski, 02 December 2008 |
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