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DEATH
CERTIFICATE
JUNIOR GOODMAN
Date 30 August 1935
Cert: 30791
Name: Junior Goodman
Place of Death: Vot Pct. Lower Jones Fork #12, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Child
Husband or Wife of: (blank)
Birth Date: (blank)
Age: (blank)
Occupation: (blank)
Place of Birth: Lackey, Ky.
Name of Father: Clinton GOODMAN
Birthplace Father: Lackey, Ky.
Maiden Name of Mother: Ellen CONLEY
Birthplace Mother: Lackey, Ky.
Informant: Clint PATTON, Lackey, Ky.
Death Date: 30 August 1935
Cause of Death: Chronic dyarrheae, (illegible)
Signed: N. N. Collins, M.D., Lackey, Ky.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 12 August 2009 |
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