DEATH CERTIFICATE
ROSA GRIFFIE

Date    19 August 1915
Deathvol Vol:   1915
Cert: #  20071 Cert. 20070 filed in Jeff Reg. #19888
Name:  Rosa GRIFFIE
Female, White, Single
Age:  6 years, 4 months, 14 days
Place of Death: Voting Pct. Lackey, Jones Fork, Knott Co., KY
Birth Date:  05 April 1909                       
Place of Birth:  Ky.
Father:  James GRIFFIE                                                  Birthplace Father:  Ky.
Mother:  Eva TRIPLETT                                                       Birthplace Mother:  Ky.
Informant:  (Blank)
Death Date:  15 August 1915
Cause of Death:  Dysentery
Signed:  M. V. Wicker, M.D.
Burial Place:  (Blank)
Undertaker:  (Blank)
File Date: 20 August 1915
Transcribed by Debbie Tamborski, 01 August 2008