DEATH CERTIFICATE
(STILLBIRTH) FITCH

Date    21 January 1917
Cert: #  1990 
Name:  (Stillbirth) FITCH
Male, White
Age:   00 years, 00 months,  00 days
Place of Death: Voting Precinct #4, Decoy , Knott Co., KY  
Birth Date:  21 January 1917                                            Occupation:  (blank)                              
Place of Birth:  Knott Co., Ky.                 
Name of Father:  Hiram FITCH                                     Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Sylvana SMITH                             Birthplace Mother:  Knott Co., Ky.
Informant:  Louisa Shepard
Death Date:  21 January 1917
Cause of Death:  Measles 
Signed:  (blank)
Burial Place:  Stacy Graveyard                                               Date of Burial:  22 January 1917
Undertaker:  Andrew Smith, Decoy, Ky.
File Date:  22 January 1917
Transcribed by Debbie Tamborski, 07 November 2008