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DEATH
CERTIFICATE
KATE VIOLA HAMMONS
Date 11 Janaury 1938
Cert: Duplicate #4566 Original
#20246
Name: Kate Viola HAMMONS
Place of Death: Vot. Pct. Lackey, S. M. Hosp., Knott Co., KY
Residence: Nurlbern, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 20 years, 02 months, 10 days
Occupation: (blank)
Place of Birth: Floyd Co.
Name of Father: Sam HAMMONS
Birthplace Father: Magoffin Co.
Maiden Name of Mother: Elizabeth MEADE
Birthplace Mother: Knott Ky. Co.
Informant: Guy HAMMONS, Gerritsville, Ky.
Death Date: 11 January 1938
Cause of Death: Yellow Jundas
Signed: Dr. J. Salyer, M.D., Lackey, Ky.
Burial Place: Garrett, Ky.
Date of Burial: 13 January 1938
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 28 February 1938
Registrar: Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 30 October 2009 |
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