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DEATH
CERTIFICATE
SAM FRANCIS
Date 03 October 1936
Cert: 28901
Name: Sam FRANCIS
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White (marital status blank)
Husband or Wife of: Mr. (transcribed as written)
Birth Date: 30 January 1862
Age: 74 years
Occupation: Farmer
Place of Birth: Perry Co., Ky.
Name of Father: Wesley FRANCIS
Birthplace Father: (blank)
Maiden Name of Mother: Patsy FUGATE
Birthplace Mother: Perry Co.
Informant: (blank)
Death Date: 03 October 1936
Cause of Death: Lobar pneumonia
Contributory: Senility
Signed: (blank)
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 18 September 2009 |
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