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DEATH
CERTIFICATE
(Stillborn) HOLLIDAY
Date 04 November 1917
Cert: # 30913
Name: (Stillborn) HOLLIDAY
Sex, Color, Marital Status: (blank)
Age: (blank)
Place of Death: Voting Precinct Hindman, Knott Co., KY
Birth Date: 04 November 1917
Occupation: (blank)
Place of Birth: (blank)
Name of Father: Monroe HOLLIDAY
Birthplace Father: Perry Co.
Maiden Name of Mother: Lucinda FIELDS
Birthplace Mother: Knott Co.
Informant: Monroe HOLLIDAY
Death Date: 04 November 1917
Cause of Death: hurt
Signed: Sally B. Simpson
Burial Place: (blank)
Date of Burial: 04 November 1917
Undertaker: (blank)
File Date: 18 November 1917
Transcribed by Debbie Tamborski, 12 November 2008 |
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