DEATH CERTIFICATE

(Stillborn) HAGANS

Date  15 February 1922
Cert: #  4452 
Name:  (Stillborn) HAGANS 
Place of Death: Voting Pct. #6, Knott Co., KY
Male, Colored
Birth Date:  15 February 1922 
Age:  (blank)
Occupation:  (blank) 
Place of Birth:  Knott Co., Ky.
Name of Father:  Benjiman HAGANS 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Violet WILLIAMS
Birthplace Mother:  Ky. 
Informant:   Benjiman HAGANS, Cody, Ky.
Death Date:  15 February 1922 
Cause of Death:  Not known 
Signed:  Dr. Moss, M.D.
Burial Place:  John Hagans 
Date of Burial:  16 February 1922 
Undertaker:  Benjiman Hagans, Cody, Ky. 
File Date:  16 February 1922 
Transcribed by Debbie Tamborski, 07 January 2009