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DEATH
CERTIFICATE
SAM HALE
Date 02 August 1918
Cert: # 20837
Name: Sam HALE
Male, White, Infant
Age: 06 months, 10 days
Place of Death: Voting Precinct #4, Elmrock, Knott Co., KY
Birth Date: 23 January 1918
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Ira. HALE
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Georga WIREMAN
Birthplace Mother: Magoffin Co., Ky.
Informant: Ira HALE, Elmrock
Death Date: 02 August 1918
Cause of Death: orcifless Dr. J. W. Duke attended some
Signed: (blank)
Burial Place: Patton fork graveyd.
Date of Burial: 03 August 1918
Undertaker: George Allen, Elmrock
File Date: 03 August 1918
Transcribed by Debbie Tamborski, 10 November 2008 |
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