|
DEATH
CERTIFICATE
RELLO HOLLEN
Date 23 September 1930
Cert: # 22903
Name: Rello HOLLEN
Place of Death: Carrie, Knott Co., KY
Female, White
Husband or Wife of: (blank)
Birth Date: 23 April
Age: 05 months
Occupation: (blank)
Place of Birth: Breathitt Co., Ky.
Name of Father: John HOLLEN
Birthplace Father: Ky.
Maiden Name of Mother: Laura SMITH
Birthplace Mother: Knott Co.
Informant: (blank)
Death Date: 23 September 1930
Cause of Death: Diphtheria
Signed: Mary J. Hutson, M.D.
Burial Place: Martin Cemetery
Date of Burial: 24 September 1930
Undertaker: (blank) Carrie, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 23 June 2009 |
|