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DEATH
CERTIFICATE
BALIS GRIGSBY
Date 27 October 1919
Cert: # 30407
Name: Balis GRIGSBY
Male, White, Single
Age: 15 days
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 12 October 1919
Occupation: none
Place of Birth: Ky.
Name of Father: R. Lee GRIGSBY
Birthplace Father: Ky.
Maiden Name of Mother: Evea GRIGSBY
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 27 October 1919
Cause of Death: Disformed
Signed: (blank)
Burial Place: Mart Gayhart
Date of Burial: 28 October 1919
Undertaker: (blank)
File Date: 05 December 1919
Transcribed by Debbie Tamborski, 09 November 2008 |
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