DEATH CERTIFICATE

WILLIE T. FRANCIS

Date    23 December 1913
Deathvol Vol:   1913
Cert: # 32785
Name: Willie T. FRANCIS
Male, White, Single
Age: 03 years, 03 months, 16 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date: 07 October 1911
Place of Birth: Knott Co., Ky.
Father: G. W. FRANCIS                                                 Birthplace Father: Knott Co., Ky.
Mother: Melvina SMITH                                                       Birthplace Mother: Knott Co., Ky.
Informant: G. W. FRANCIS, Smithsboro, Ky.
Death Date: 23 December 1913
Cause of Death: Pneumonia Fever     Contributory: measles
Signed:  G. D. Ison, M.D.
Burial Place: Combs Grave
Undertaker: G. W. Francis, Smithsboro, Ky.
File Date: 23 December 1913
Transcribed by Debbie Tamborski, 22 July 2008