|
DEATH
CERTIFICATE
SAMUEL L. GREEN
Date 09 June 1920
Cert: # 16553
Name: Samuel L. GREEN
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Single
Birth Date: March 1861
Age: 59 years
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: W. M. GREEN
Birthplace Father: Kentucky
Maiden Name of Mother: Matilda GREEN
Birthplace Mother: Kentucky
Informant: James GIBSON, Smithsboro, Ky.
Death Date: 09 June 1920
Cause of Death: Cancer
Signed: (blank)
Burial Place: Davis Franklin
Date of Burial: 10 June 1920
Undertaker: James GIBSON, Smithsboro, Ky.
File Date: 10 June 1920
Transcribed by Debbie Tamborski, 04 January 2009 |
|