|
DEATH
CERTIFICATE
ELZIE COX
Date 07 February 1938
Cert: Duplicate #20224 Original #20225
Name: Elzie COX
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo Mem.
Hosp., Lackey, Knott Co., KY
Residence: Hindman, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 17 September 1933
Age: 04 years, 04 months, 20 days
Occupation: (blank)
Place of Birth: Lackey, Ky.
Name of Father: Odis COX
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Zikie CLICK
Birthplace Mother: Leburn, Ky.
Informant: Odis COX, Hindman, Ky.
Death Date: 07 February 1938
Cause of Death: Cerebro Spinal Meningitis
Signed: Philip Bress, M.D., Lackey, Ky.
Burial Place: Hindman
Date of Burial: 08 February 1938
Undertaker: G. D. Ryan, Martin, Ky.
File Date: August 1938
Registrar: G. C. Collins, D.D.S.
Transcribed by Debbie Tamborski, 28 October 2009 |
|