DEATH CERTIFICATE

WILLIAM FULLER

Date   16 January 1922
Cert: #  4453 
Name:  William FULLER
Place of Death: Voting Pct. #5, Knott Co., KY
Boy, White, Single
Birth Date:  07 January 1922
Age:  08 days
Occupation:  non
Place of Birth:  Ky.
Name of Father:  F. S. FULLER 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Marthia SLONE
Birthplace Mother:  Ky. 
Informant:  Elisabeth SING, Ritchie
Death Date:  16 January 1922 
Cause of Death:  is by beeing misintruted by the midwife [sic] 
Signed:  no Dr. in attend
Burial Place:  Ritchie, Ky. 
Date of Burial:  17 January 1922 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 30 December 2008