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DEATH
CERTIFICATE
ROBERD FULLER
Date 16 April 1925
Cert: # 9991
Name: Roberd FULLER
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Single
Birth Date: 15 April 1853
Age: 72 years
Occupation: non
Place of Birth: Ky.
Name of Father: Arch FULLER
Birthplace Father: Ky.
Maiden Name of Mother: Dicey COMBS
Birthplace Mother: Ky.
Informant: Henry SINGLETON, Ritchie, Ky.
Death Date: 16 April 1925
Cause of Death: Lagrip cold
Signed: Elisabeth Singleton, M.D.
Burial Place: (blank)
Date of Burial: 19 April 1925
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 30 December 2008 |
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