DEATH CERTIFICATE

ELLA HIX

Date  20 October 1922
Cert: #  21498 
Name:  Ella HIX 
Place of Death: Voting Pct., Knott Co., KY
Female, White
Birth Date:  31 October 1919 
Age: 02 years, 11 months, 19 days
Occupation:  (blank)
Place of Birth:  (blank)
Name of Father:  Woots HIX 
Birthplace Father:  Kentucky  
Maiden Name of Mother:  Susie ALLEN
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  20 October 1922 
Cause of Death:  Burns 
Signed:  T. J. Chandler, M.D.
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 07 January 2009