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