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DEATH
CERTIFICATE
JAMES DILES
Date 20 August 1936
Cert: 23134
Place of Death: Voting Pct.: #59, Pike Co., Ky.
Full Name: James DILES
Residence: Ferguson Creek, (Pikeville, Ky.)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Ollie KINNEY
Date of Birth: 01 March 1840
Age: 96 years, 05 months, 19 days
Occupation: Farmer
Birthplace: Knott County, Ky.
Father Name: Not Given
Birthplace Father: " "
Mother Maiden Name: "
Birthplace Mother: "
Informant/Address: Andrew DILES, Shelbiana, Ky.
Burial Cremation Removal Place: Shelbiana, Ky.
Date: 21 August 1936
Undertaker/Address: J. W. Call & Son, Pikeville, Ky.
Filed: 20 August 1936
Registrar: J. C. Wright
Death of Date: 20 August 1936
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 3:00 a.m.
Cause of Death: Probably Senility (No Doctor in
attendance)
Date of onset: (blank)
Contributory causes: Senility
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: No physician
Transcribed by Debbie Tamborski, 18 April 2010 |
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