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DEATH
CERTIFICATE
JOSEPHINE HORN
Date 13 October 1912
Cert: # 5731
Name: Josephine HORN
Female, White, Single
Age: 02 years, 09 months, 06 days
Place of Death: Voting Precinct #10 Hazard, Perry Co., KY
Birth Date: 06 January 1909
Occupation: (blank)
Place of Birth: Perry Co., Ky.
Name of Father: Garret HORN
Birthplace Father: Pineville, Ky.
Maiden Name of Mother: Cinda COUCH
Birthplace Mother: (blank)
Informant: (blank)
Death Date: 13 October 1912
Cause of Death: diarrhea
Signed: J. C. Sumner, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 19 October 1912
Transcribed by Debbie Tamborski, 02 December 2008 |
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