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DEATH
CERTIFICATE
GOLD HOWARD
Date 26 November 1928
Cert: 29445
Place of Death: Vot. Pct.: Lambric, Spring Fork, Breathitt
Co., Ky.
Full Name: Gold HOWARD
Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 28 years, 11 months, 03 days
Occupation: Farmer
Birthplace: Knott Co.
Father Name: G. Whitt HOWARD
Birthplace Father: Kentucky
Mother Maiden Name: Rachel GAYHEART
Birthplace Mother: Kentucky
Informant/Address: Green HOWARD, Lambric
Filed: 28 December 1928
Registrar: Laura (illegible)
Death of Date: 26 November 1928
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), and that death
occurred on the date stated above at (blank)
Cause of Death: by a fallen tree
Duration: (blank)
Contributory: (blank)
Duration: (blank)
Where was disease contracted if not at place of death?:
(blank)
Did an operation precede death: (blank) Date: (blank)
Was there an autopsy: (blank)
What test confirmed diagnosis: (blank)
Signed/Address: (blank)
Place of Burial or Removal: (illegible)
Date of Burial: 12 December 1928
Undertaker/Address: G. W. Howard (illegible)
Transcribed by Debbie Tamborski, 23 March 2010 |
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