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DEATH
CERTIFICATE
(STILLBIRTH) DAVIS
Date 13 April 1917
Cert: # 11641
Name: (Stillbirth) DAVIS
Female, White, Single
Age: (blank)
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date: 13 April 1917
Occupation: (blank)
Place of Birth: Knott County, Ky.
Name of Father: Linzy DAVIS
Birthplace Father: Ky.
Maiden Name of Mother: Manerva SLONE
Birthplace Mother: Ky.
Informant: Harmon DAVIS, Raven, Ky.
Death Date: 13 April 1917
Cause of Death: Accidental fall of mother
Signed: E. F. King, M.D.
Burial Place: J. P. Slone Cemetery
Date of Burial: 13 April 1917
Undertaker: Harmon Davis, Raven, Ky.
File Date: 15 April 1917
Transcribed by Debbie Tamborski, 25 November 2008 |
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