DEATH CERTIFICATE

JASPER CORNETT

Date  22 January 1930
Cert: #  1807
Name:  Jasper CORNETT
Place of Death: Voting Pct. #15, Sassafras, Knott Co., KY
Male, White, Widowed
Husband or Wife of:  (blank)
Birth Date:  26 May 1855
Age: 74 years, 08 months, 26 days
Occupation:  Farmer and U. S. Pentioner
Place of Birth: Perry Co., Kentucky
Name of Father:  R. S. CORNETT, Jr.
Birthplace Father:  Kentucky
Maiden Name of Mother:  Adaline BRASHEAR
Birthplace Mother:  Kentucky
Informant:  John CORNETT, Sassafras, Ky.
Death Date:  22 January 1930
Cause of Death:  Broncho pneumonia
Signed: Aurthur Vandervert, M.D.
Burial Place:  Cornett Cemetery
Date of Burial:  23 January 1930
Undertaker:  Jesse Green, Sassafras, Ky.
File Date:  23 January 1930
Transcribed by Debbie Tamborski, 23 June 2009