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DEATH
CERTIFICATE
John Cman HOWELL
Date 15 September 1936
Cert: 27734
Name: John Cman HOWELL
Place of Death: Voting Pct. Lackey, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Ambray, Ky. (Marine)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: (blank)
Birth Date: March 1913
Age: 22 years, 06 months
Occupation: Farmer Pipe Line
Place of Birth: Tolers Creek, Floyd County
Name of Father: Lee HOWELL
Birthplace Father: Tolers Creek, Amly, Ky.
Maiden Name of Mother: Anna JUSTICE
Birthplace Mother: Ambray, Ky.
Informant: Lee HOWELL, Ambray, Ky.
Death Date: 15 September 1936
Cause of Death: Appendicitis, ruptured, gen. pertonitis
Signed: John O. Salyers, M.D., Stumbo Mem.
Hosp., Lackey, Ky.
Burial Place: Ambray, Ky.
Date of Burial: 17 September 1936
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 29 October 1936
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 19 September 2009 |
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