DEATH CERTIFICATE

CORRIE HINES

Date    12 August 1911
Deathvol Vol:   1911
Cert: #  21990
Name:  Corrie HINES
Female, Black, Single
Age:  17 years
Place of Death: Voting Pct. No. 8, Perry Co., KY
Birth Date:  10 August 1894
Place of Birth:  Ala.
Father:  Sele HINES                                                     Birthplace Father: Geo.
Mother:  Annie HAUTON                                                     Birthplace Mother:  Geo.
Informant:  Not Listed
Death Date:  12 August 1911
Cause of Death:  Shot with leaden ball 32 x 20 caliber
Signed:  G. C. Morgan, M.D.
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 07 September 1911
Transcribed by Debbie Tamborski, 24 June 2008