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DEATH
CERTIFICATE
(Stillborn) HAGANS
Date 12 October 1921
Cert: # 22213
Name: (Stillborn) HAGANS
Place of Death: Voting Pct. #6, Knott Co., KY
Female, Colored
Birth Date: 12 October 1921
Age: Stillbirth
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Gorge HAGANS
Birthplace Father: Cody, Ky.
Maiden Name of Mother: Flora CORNETT
Birthplace Mother: Perry Co., Ky.
Informant: George HAGANS, Cody, Ky.
Death Date: 12 October 1921
Cause of Death: Stillbirth not known
Signed: Dr. Moss, M.D.
Burial Place: John Hagans
Date of Burial: 13 October 1921
Undertaker: George Hagans, Cody, Ky.
File Date: 13 October 1921
Transcribed by Debbie Tamborski, 07 January 2009 |
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