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DEATH
CERTIFICATE
NADENE GOBLE
Date 05 January 1937
Cert: Original #20235 Duplicate
#7232
Name: Nadene GOBLE
Place of Death: Voting Pct. Lower Jones Fork #19, Knott Co., KY,
Stumbo Memorial Hospital, Lackey, Ky.
Residence: Martin, Ky.
Length of residence: (blank)
Female, White, Child
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 03 years, 01 months
Occupation: (blank)
Place of Birth: Martin, Ky.
Name of Father: Erman GOBLE
Birthplace Father: Debord, Ky.
Maiden Name of Mother: Virgie BRADLEY
Birthplace Mother: Floyd Co., Ky.
Informant: Erman GOBLE, Martin, Ky.
Death Date: 05 January 1937
Cause of Death: Diphtheria
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Martin, Ky.
Date of Burial: 06 January 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 02 September 1938
Registrar: G. C. Collins, D.D.S.
Transcribed by Debbie Tamborski, 30 September 2009 |
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