|
DEATH
CERTIFICATE
ANNA DERM
Date 29 December 1925
Cert: # 29876
Name: Anna DERM
Place of Death: Voting Pct. Hindman, Knott Co., KY
Female, White, Married
Birth Date: 16 October 1847
Age: 78 years, 02 months, 13 days
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: John HALL
Birthplace Father: Kentucky
Maiden Name of Mother: Nealey SAMONS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 29 December 1925
Cause of Death: Accute dilatation of the heart
Signed: M. F. Kelley, M.D.
Burial Place: Martin Cemetery
Date of Burial: 30 December 1925
Undertaker: Marion Grubb, Hindman, Ky.
File Date: 06 January 1926
Transcribed by Debbie Tamborski, 27 December 2008 |
|