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DEATH
CERTIFICATE
PRICY HARRIS
Date 09 January 1938
Cert: 01772
Place of Death: Voting Pct.: Low Gap, Johnson Co., Ky.
Full Name: Price HARRIS
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Date of Birth: 11 April 1901
Age: 36 years, 09 months, 02 days
Occupation: At home
Birthplace: Knott Co., Ky.
Father Name: John J. HARRIS
Birthplace Father: Ky.
Mother Maiden Name: Verna Ellen HARRIS
Birthplace Mother: Ky.
Informant/Address: Al Vira MCARTY, Kernwood, Ky.
Filed: 12 January 1938
Registrar: H. B. Caudell
Death of Date: 09 January 1938
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), and that death
occurred on the date stated above at (blank)
Cause of Death: Unknown. No physician Present at
time of death. Said to be from operation years ago.
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: (blank)
Place of Burial or Removal: McCarty Cemetery
Date of Burial: 10 January 1938
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 24 April 2010 |
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