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DEATH
CERTIFICATE
ANDREW RAYMOND DEATON
Date 08 October 1928
Cert: 32579
Place of Death: Voting Pct. McRoberts, Letcher Co., Ky.
Full Name: Andrew Raymond DEATON
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status Male, White, Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 04 months, 09 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Father Name: Richard DEATON
Birthplace Father: Lee Co., Ky.
Mother Maiden Name: Florence TAULBEE
Birthplace Mother: Breathitt Co., Ky.
Informant/Address: Father, McRoberts, Ky.
Filed: 01 January 1930
Registrar: J. H. Sergent
Death of Date: 08 October 1928
I hereby certify that I attended deceased from 02 October 1928 to
08 October 1928, that I last saw him alive on 08 October 1928, and that death
occurred on the date stated above at 10:30 a.m.
Cause of Death: (?Fennerstatus?) Diarrhea
Duration: 06 days
Contributory: Malnutrition
Duration: (blank)
Where was disease contracted if not at place of death?:
McRoberts, Ky.
Did an operation precede death: No Date: (blank)
Was there an autopsy: No
What test confirmed diagnosis: physical signs
Signed/Address: Robt. A. Reynolds, M.D., October 1929,
McRoberts, Ky.
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: none
Transcribed by Debbie Tamborski, 26 March 2010 |
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