DEATH CERTIFICATE
LOUISA COUCH

Date  10 December 1912
Cert: #  307
Name:  Louisa COUCH 
Female, White, Single
Age:  01 years, 08 months, 10 days
Place of Death: Voting Precinct #8, Perry Co., KY
Birth Date:  30 March 1910
Occupation:  (blank)
Place of Birth:  Ky. 
Name of Father:  Russ COUCH 
Birthplace Father:  Ky.
Maiden Name of Mother:  Polly WHITE 
Birthplace Mother:  Ky. 
Informant:  (blank)
Death Date:  10 December 1912 
Cause of Death:  Broncho pneumonia
Signed:  G. C. Morgan, M.D.
Burial Place:  (blank)
Date of Burial:  12 December 1912 
Undertaker:  (blank) 
File Date:  05 February 1913
Transcribed by Debbie Tamborski, 02 December 2008