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DEATH
CERTIFICATE
LAUZA HUDSON
Date 15 September 1917
Cert: 35436
Place of Death: Voting Precinct: Breathitt Co., Ky.
Full Name: Lauza HUDSON
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: unknown
Age: 23 years
Occupation: Timer Keeper on R.R.
Birthplace: Knott Co.
Name of Father: Gabriel HUDSON
Birthplace Father: Bthitt Co.
Maiden name of Mother: Eliza SMITH
Birthplace Mother: Knott Co.
Informant/Address: Linville MILLER, Hardshell, Ky.
Filed: 09 October 1917
Registrar: J. N. Allen
Death Date: 15 September 1917
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: Gunshot
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Stacy Cem.
Date of Burial: 17 September 1917
Undertaker/Address: James Hudson Sr., Noble, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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