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DEATH
CERTIFICATE
FORESTER HAMMONS
Date 10 November 1919
Cert: # 1671
Name: Forester HAMMONS
Male, White, Single
Age: 02 years, 02 months, 17 days
Place of Death: Vot. Precinct Upper Carr, Bath, Knott Co., KY
Birth Date: 23 August 1917
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: E. J. HAMMONS
Birthplace Father: Letcher Co., Ky.
Maiden Name of Mother: Bell PROFITT
Birthplace Mother: Letcher Co., Ky.
Informant: E. J. HAMMONS, Bath, Ky.
Death Date: 10 November 1919
Cause of Death: Dysentery Flux
Signed: T. A. Cook, M.D.
Burial Place: Noah Hale
Date of Burial: 11 November 1919
Undertaker: Noah Hale, Bath, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 11 November 2008 |
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