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DEATH
CERTIFICATE
SIREDA HAGANS
Date 02 August 1917
Cert: # 22976
Name: Sireda HAGANS
Female, Colored, Child
Age: 01 years, 08 months, 05 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 27 November 1915
Occupation: (blank)
Place of Birth: Knott
Name of Father: George HAGANS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Flora CORNETT
Birthplace Mother: Perry Co., Ky.
Informant: John HAGANS, Redfox, Ky.
Death Date: 02 August 1917
Cause of Death: Flux
Signed: F. C. Roark, M.D.
Burial Place: John Hagans
Date of Burial: 03 August 1917
Undertaker: George Hagans, Redfox, Ky.
File Date: 03 August 1917
Transcribed by Debbie Tamborski, 09 November 2008 |
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