DEATH CERTIFICATE

HARRISON EASTERN

Date    17 November 1913
Deathvol Vol:   1913
Cert: #  29982
Name:  Harrison EASTERN
Male, White, Single
Age:  22 years, 07 months, 10 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  07 March 1913(transcribed as written)
Place of Birth:  Pulaskia Co., Ky.
Father:  Wm. SMITH                                                   Birthplace Father:  Pulaskia Co., Ky.
Mother:  Martha PITMAN                                                       Birthplace Mother:  Pulaskia Co., Ky.
Informant:  G. W. CALHOUN, Smithsboro, Ky.
Death Date:  17 November 1913
Cause of Death:  Typhoid Fever
Signed:  F. C. Roark, M.D.
Burial Place:  Pulaskia, Ky.
Undertaker:  Osma Clerk, Smithsboro, Ky.
File Date: 28 November 1913
Transcribed by Debbie Tamborski, 22 July 2008