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DEATH
CERTIFICATE
KELSEY GAYHART
Date 03 January 1912
Cert: # 2534
Name: Kelsey GAYHART
Male, White, Single
Age: 01 months, 18 days
Place of Death: Voting Precinct #3, Perry Co., KY
Birth Date: 16 November 1911
Occupation: None
Place of Birth: Kentucky
Name of Father: Lewis GAYHART
Birthplace Father: Kentucky
Maiden Name of Mother: Arminda STACY
Birthplace Mother: Kentucky
Informant: Lewis GAYHART, Arey, Ky.
Death Date: 03 January 1912
Cause of Death: Pneumonia
Signed: Sm Richie, M.D.
Burial Place: Pigeon Roost
Date of Burial: 05 January 1912
Undertaker: Lewis Gayhart, Arey, Ky.
File Date: 04 January 1912
Transcribed by Debbie Tamborski, 02 December 2008 |
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