DEATH CERTIFICATE

SALEY GRUB

Date  10 November 1917
Cert: #  33798
Name: Saley GRUB
Girl, White, Married
Age: 48 years
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date:  1871
Occupation:  Housewife
Place of Birth:  Ky.
Name of Father:  Ruben THACKER
Birthplace Father:  Ky.
Maiden Name of Mother:  Aney OWENS
Birthplace Mother: Ky.
Informant:  William DERMS, Elic, Ky.
Death Date:  10 November 1917
Cause of Death:  Tuberculosis
Signed:  (blank)
Burial Place:  (blank)
Date of Burial:  November 1917
Undertaker:  (blank)
File Date:  (blank)
Transcribed by Debbie Tamborski, 09 November 2008