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DEATH
CERTIFICATE
CHARLES HAYNES
Date 18 November 1936
Cert: 33611
Name: Charles HAYNES
Place of Death: Voting Pct. , Knott Co., KY
Residence: Hindman, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: none
Birth Date: 13 December 1925
Age: 11 years
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: John C. HAYNES
Birthplace Father: Hindman, Ky.
Maiden Name of Mother: Rhoda PERKINS
Birthplace Mother: Knott Co., Ky.
Informant: John C. HAYNES, Hindman, Ky.
Death Date: 18 November 1936
Cause of Death: Heart failure
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Knott Co.
Date of Burial: 14 December 1936
Undertaker: John C. Haynes, Hindman, Ky.
File Date: 15 January 1937
Registrar: Rhoda C. Kelley
Transcribed by Debbie Tamborski, 19 September 2009 |
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