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DEATH
CERTIFICATE
MALISSA EDITH CORNETT
Date 22 February 1920
Cert: # 5217
Name: Malissa Edith CORNETT
Place of Death: Voting Pct. #6, Knott Co., KY
Female, White, Child
Birth Date: 28 March 1919
Age: 10 months, 23 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: James CORNETT
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Nora KELLEY
Birthplace Mother: Knott Co., Ky.
Informant: William MULLINS, Smithsboro, Ky.
Death Date: 22 February 1920
Cause of Death: Influenza
Signed: F. C. Roark, M.D.
Burial Place: L. D. Kelley
Date of Burial: 23 February 1920
Undertaker: James Cornett, Smithsboro, Ky.
File Date: 23 February 1920
Transcribed by Debbie Tamborski, 27 December 2008 |
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