DEATH CERTIFICATE

ROY HERD

Date  05 February 1912
Cert: #  5366 
Name:  Roy HERD 
Male, White, Single
Age:  03 years, 08 days
Place of Death: Voting Precinct #7, Perry Co., KY
Birth Date:  27 January 1909 
Occupation:  None 
Place of Birth:  Kentucky 
Name of Father:  Rufus HERD 
Birthplace Father:  Tennessee 
Maiden Name of Mother:  Nannie BAILEY 
Birthplace Mother:  Kentucky 
Informant:  Rufus HERD, Slemp, Ky. 
Death Date:  05 February 1912 
Cause of Death:  Clothes caught fire 
Signed:  (blank)
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker:  (blank) 
File Date:  07 March 1912 
Transcribed by Debbie Tamborski, 02 December 2008