DEATH CERTIFICATE

PERRY DAVIDSON JR.

Date  18 May 1921
Cert: #  22206 
Name:  Perry DAVIDSON Jr.
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Single
Birth Date:  18 May 1921
Age:  Stillbirth
Occupation:  (blank) 
Place of Birth:  Knott Co., Ky.
Name of Father:  Perry DAVIDSON 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Margarett MCLAIN
Birthplace Mother:  Mass.
Informant:  (blank)
Death Date:  18 May 1921 
Cause of Death:  Stillbirth
Signed:  M. F. Kelley, M.D.
Burial Place:  Boston, Mass.
Date of Burial:  20 May 1921 
Undertaker:  Perry Davidson, Scranton, Pa. 
File Date:  12 September 1921 
Transcribed by Debbie Tamborski, 27 December 2008