DEATH
CERTIFICATE
SARIAH HALL
Date 23 August 1912
Cert: # 20343
Name: Sariah HALL
Male, White
Age: 06 years, 09 months, 12 days
Place of Death: Voting Precinct #5 Viper, Perry Co., KY
Birth Date: 11 November 1906
Occupation: (blank)
Place of Birth: Kentucky
Name of Father: Wm. HALL
Birthplace Father: Kentucky
Maiden Name of Mother: Sally CAUDILL
Birthplace Mother: Kentucky
Informant: Heney HALL, Viper, Ky.
Death Date: 23 August 1912
Cause of Death: Folicular tonsilitis
Signed: G. W. Campbell, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 08 September 1912
Transcribed by Debbie Tamborski, 02 December 2008 |
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