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DEATH
CERTIFICATE
LOLIE HOLLAND
Date 08 November 1936
Cert: 33621
Name: Lolie HOLLAND
Place of Death: Voting Pct. #2, Knott Co., KY
Residence: Ivan, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: 28 August 1936
Age: 02 months, 10 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: George HOLLAND
Birthplace Father: Ky.
Maiden Name of Mother: Minnie AMBURGY
Birthplace Mother: Knott Co.
Informant: (blank)
Death Date: 08 November 1936
Cause of Death: Hives
Signed: (blank)
Burial Place: G. Amburgy
Date of Burial: 08 November 1936
Undertaker: (blank)
File Date: 03 November 1936 (transcribed as written)
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 19 September 2009 |
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