DEATH CERTIFICATE

MARYJANE GRIMES

Date   25 May 1919
Cert: #  19000
Name:  Maryjane GRIMES
Female, White
Age: 06 years
Place of Death: Voting Precinct #10, Knott Co., KY
Birth Date: 25 May 1913
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  John GRIMES
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Polley GRIMES
Birthplace Mother:  Knott Co.
Informant:  Bird HALL, Kite, Ky.
Death Date:  25 May 1919
Cause of Death:  Fever
Signed:  (blank)
Burial Place:  B. F. Stranges
Date of Burial:  26 May 1919
Undertaker:  Bird Hall, Kite, Ky.
File Date:  09 June 1919
Transcribed by Debbie Tamborski, 09 November 2008