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DEATH
CERTIFICATE
SAMUEL FRANCIS
Date 28 August 1918
Cert: # 20834
Name: Samuel Francis
Male, White, Married
Age: 63 years
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: July 1855
Occupation: Farming
Place of Birth: Kentucky
Name of Father: (blank)
Birthplace Father: (blank)
Maiden Name of
Mother: (blank)
Birthplace Mother: (blank)
Informant: Thomas KELLEY, Smithsboro, Ky.
Death Date: 28 August 1918
Cause of Death: Paralysis of brain and nerves
Signed: (blank)
Burial Place: Geo Kelley
Date of Burial: 29 August 1918
Undertaker: Geo Kelley, Smithsboro, Ky.
File Date: 29 August 1918
Transcribed by Debbie Tamborski, 07 November 2008 |
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