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DEATH
CERTIFICATE
JANE DRAUGHN JR.
Date 29 September 1921
Cert: # 22212
Name: Jane DRAUGHN Jr.
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Female, White, Single
Birth Date: 13 September 1921
Age: 16 days
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father: Daulph DRAUGHN
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Mallie GAYHART
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 29 September 1921
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Draughn Cemetery
Date of Burial: 30 September 1921
Undertaker: Daulph Draughn, Leburn, Ky.
File Date: 01 October 1921
Transcribed by Debbie Tamborski, 28 December 2008 |
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