DEATH CERTIFICATE

VERGINIA DOOLEY

Date:  27 September 1922
Cert:  20785
Place of Death: Voting Precinct:  Buck Creek, Owsley Co., Ky.
Full Name:  Verginia DOOLEY
Sex, Color or Race, Marital Status:  Female, White, Married
Date of Birth:  22 January 1877
Age: 45 years, 08 months, 05 days
Occupation:  Housewife
Birthplace:  Ky.
Name of Father:  Benton CORNETT
Birthplace Father:  Ky.
Maiden name of Mother:  Margrett COMBS
Birthplace Mother:  Ky.
Informant/Address:  Bascom DOOLEY, Scoville, Ky.
Filed:  12 October 1922
Registrar:  J. O. Isaacs
Death Date:  
I hereby certify that I attended deceased from (blank), to (blank), that I last saw h-- alive on (blank), and that death occurred, on the date stated above at (blank)
Cause of Death:  Heart Failure
Duration:  02 days
Contributory:  (blank)
Signed/Address:  (blank)
Length of residence at place of death:  (blank)
Where was disease contracted if not at place of death?: (blank)
Place of Burial or Removal:  Mainous G. Y.
Date of Burial:  28 September 1922
Undertaker/Address:  Bascom Dooley, Scoville, Ky.
Transcribed by Debbie Tamborski, 06 December 2010