DEATH CERTIFICATE

(Stillbirth) HAGANS

Date  12 October 1922
Cert: #  24872
Name:  (Stillbirth) HAGANS
Place of Death: Voting Pct. #2, Knott Co., KY
Female, Black, Single
Birth Date:  12 October 1922 
Age:  (blank)
Occupation:  (blank) 
Place of Birth:  Ky.
Name of Father:  George HAGANS 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Flory CORNETT
Birthplace Mother:  Ky. 
Informant:  (blank)
Death Date:  (blank) 
Cause of Death: Don't know
Signed:  Mary Martin, M.D.
Burial Place:  Breeding Cemetery 
Date of Burial:  13 October 1922 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 05 January 2009