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DEATH
CERTIFICATE
CHAS. J. DAVIS
Date 06 July 1933
Cert: # 24220
Name: Chas. J. DAVIS
Place of Death: Voting Pct. Lackey, Knott Co., KY
Residence: Lackey, Ky.
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 11 March 1931
Age: 02 years, 03 months, 25 days
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Chas. DAVIS
Birthplace Father: Ky.
Maiden Name of Mother: Hattie FLYNN
Birthplace Mother: Va.
Informant: Chas. DAVIS, Lackey, Ky.
Death Date: 06 July 1933
Cause of Death: Dysentery (Flux)
Signed: M. V. Wicker, M.D., Wayland, Ky.
Burial Place: (blank)
Date of Burial: Family, Lackey, Ky.
Undertaker: 21 October 1933
File Date:
Transcribed by Debbie Tamborski, 10 July 2009 |
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