DEATH CERTIFICATE

HOSE FULLER

Date 16 November 1937
Cert:  31951
Name:  Hose FULLER
Place of Death: Voting Pct. #5, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  Husband of Adline COMBS
Birth Date: (blank)
Age: 66 years
Occupation:  farmer
Place of Birth: (blank)
Name of Father:  Arch FULLER
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Dicy COMBS
Birthplace Mother:  Knott Co.
Informant:  (blank)
Death Date:  16 November 1937
Cause of Death:  Cancer of Parotid Glands
Signed: J. W. Duke, M.D., Hindman, Ky.
Burial Place:  Buried Knott
Date of Burial:  17 November 1937
Undertaker:  Relatives
File Date:  30 December 1937
Registrar:  Sam Ritchie
Transcribed by Debbie Tamborski, 30 September 2009