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DEATH
CERTIFICATE
REBBECA COX
Date 25 April 1940
Cert: 10434
Name: Rebbeca COX
Place of Death: Voting Pct. Rock Fork, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 08 November 1930
Age: 09 years, 05 months, 17 days
Occupation: (blank)
Place of Birth: Bolyn, Ky.
Name of Father: W. F. COX
Birthplace Father: Bolyn, Ky.
Maiden Name of Mother: Lura GAYHEART
Birthplace Mother: Bosco., Ky.
Informant: W. F. COX, Bolyn, Ky.
Death Date: 25 April 1940
Cause of Death: Gun shot by accident
Signed: no doctor, W. F. Cox, Father, Bolyn, Ky. 05 May
1940
Burial Place: Will Chafins Cem.
Date of Burial: 26 April 1940
Undertaker: (blank)
File Date: 07 May 1940
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 13 November 2009 |
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