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DEATH
CERTIFICATE
ANNIE FAUTS
Date 09 September 1933
Cert: # 9805
Name: Annie FAUTS
Place of Death: Voting Pct. Upper Beaver, Knott Co., KY
Residence: Hall, Ky.
Female, White, Child
Husband or Wife of: (blank)
Birth Date: 29 January 1931
Age: 02 years, 07 months, 11 days
Occupation: (blank)
Place of Birth: Hall, Ky.
Name of Father: not known
Birthplace Father: (blank)
Maiden Name of Mother: Cordelia FAUTS
Birthplace Mother: Knott Co., Ky.
Informant: Cordelia FAUTS, Hall, Ky.
Death Date: 09 September 1933
Cause of Death: Diphtheria laryngeal
Signed: D. M. Osborn, M.D., Bypro, Ky.
Burial Place: Hall, Ky.
Date of Burial: 10 September 1933
Undertaker: Family, Hall, Ky.
File Date: 20 March 1934
Transcribed by Debbie Tamborski, 10 July 2009 |
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