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DEATH
CERTIFICATE
FAYETTA HENSLEY
Date 26 June 1938
Cert: 17777
Name: Fayetta HENSLEY
Place of Death: Voting Pct. #19 Lower Jones Fork, Lackey,
Stumbo Hosp., Knott Co., KY
Residence: Weeksbury, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 27 January 1937
Age: 01 years, 04 months, 29 days
Occupation: (blank)
Place of Birth: Weeksbury, Ky.
Name of Father: W. J. HINSLEY
Birthplace Father: Letcher Co.
Maiden Name of Mother: Hazel HALL
Birthplace Mother: Weeksbury
Informant: W. J. HINSLEY, Weeksbury
Death Date: 26 June 1938
Cause of Death: Bacillary dysentery
Signed: Philip Bress, M.D., Lackey, Ky.
Burial Place: Melvin
Date of Burial: 27 June 1938
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 25 July 1938
Registrar: G. C. Collins, D.D.S.
Transcribed by Debbie Tamborski, 31 October 2009 |
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