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DEATH
CERTIFICATE
SAMUEL CORNETT, JR.
Date 06 August 1930
Cert: # 20304
Name: Samuel CORNETT, Jr.
Place of Death: Voting Pct. #1, Carrie, Knott Co., KY
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 08 days
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father: Sam CORNETT
Birthplace Father: Knott Co.
Maiden Name of Mother: Ratchel HUDSON
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 06 August 1930
Cause of Death: Lobar pneumonia
Signed: M. F. Kelly, M.D.
Burial Place: Cornett Cemetery
Date of Burial: 07 August 1930
Undertaker: Samuel Cornett, Carrie, Ky.
File Date: 26 August 1930
Transcribed by Debbie Tamborski, 23 June 2009 |
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