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DEATH
CERTIFICATE
CARRIE HAGAN
Date 06 April 1932
Cert: # 31413
Name: Carrie HAGAN
Place of Death: Voting Pct. Cody, Knott Co., KY
Residence: Cody, Ky.
Female, Colored, Single
Husband or Wife of: Single
Birth Date: 10 December 1914
Age: 18 years, 03 months, 27 days
Occupation: House work
Place of Birth: Cody, Ky.
Name of Father: Frazier HAGAN
Birthplace Father: Cody, Ky.
Maiden Name of Mother: Eliza WILLIAMS
Birthplace Mother: Cody, Ky.
Informant: Frazier HAGAN, Cody
Death Date: 06 April 1932
Cause of Death: Pneumonia bronchial Contributory:
Pertussus
Signed: Carlow B. Combs, M.D., Hazard, Ky.
Burial Place: Cody, Ky.
Date of Burial: 07 April 1932
Undertaker: H. Engle, Hazard, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 02 July 2009 |
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