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DEATH
CERTIFICATE
CARIE HAYS
Date 11 August 1917
Cert: # 22969
Name: Carie HAYS
Female, White, Single
Age: 02 years, 04 months, 12 days
Place of Death: Voting Precinct Jones Fork, Knott Co., KY
Birth Date: 29 March 1915
Occupation: Farmer
Place of Birth: Ky.
Name of Father: Arlin HAYS
Birthplace Father: Ky.
Maiden Name of Mother: Mary FUGATE
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 11 August 1917
Cause of Death: Acute dysentery
Signed: F. J. Chandler, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 11 September 1917
Transcribed by Debbie Tamborski, 11 November 2008 |
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