|
DEATH
CERTIFICATE
PEGGIE GARRITT
Date 12 October 1915
Cert: 25515
Place of Death: Voting. Precinct: Stacy,
Troublesome, Perry Co., KY
Full Name: Peggie GARRITT
Sex, Color or Race, Marital Status: Female, White,
(Blank)
Date of Birth: 07 July 1915
Age: 03 months, 05 days
Occupation: (blank)
Birthplace: Knott Co.
Name of Father: Harrison GARRITT
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Susan ALLEN
Birthplace Mother: Perry Co., Ky.
Informant/Address: Rabecca Mclemore, Stacy, Ky.
Filed: 12 October 1915
Registrar: (blank)
Death Date: 12 October 1915
I hereby certify that I attended deceased from August 1915, to
October 1915, that I last saw her alive on 12 October 1915,
and that death occurred, on the date stated above, at 11 p.m.
Cause of Death: By it mother being sick and give no suck
and cows milk did not agree with it also Scroffula
Duration: (blank)
Contributory: (blank)
Signed/Address: No Dr. at all
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Allen grave yard
Date of Burial: 12 October 1915
Undertaker/Address: none
Transcribed by Debbie Tamborski, 26 February 2010 |
|