DEATH CERTIFICATE

(stillborn) CORNETT

Date    29 May 1917
Cert: #  11477
Name:  (stillborn) CORNETT
White
Age:  Stillbirth
Place of Death: Voting Precinct, Knott Co., KY  
Birth Date:  29 May 1917        
Place of Birth:  (not listed)                  
Name of Father:  Sam CORNETT                                     Birthplace Father:  Knott
Maiden Name of Mother:  Nancy MADDEN                              Birthplace Mother:  Knott
Informant:  (not listed)
Death Date:  29 May 1917
Cause of Death:  unknown
Signed:  Sally B. Simpson, M.D.
Burial Place:  Cornett Cem.                                                  Date of Burial:  29 May 1917
Undertaker:  (not listed)
File Date: 01 June 1917
Transcribed by Debbie Tamborski, 04 November 2008