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DEATH
CERTIFICATE
LULA BERNICE ISAACS
Date 03 March 1934
Cert: 10398
Place of Death: Voting Pct.: #63, Dorton, Pike Co., Ky.
Full Name: Lula Bernice ISAACS
Residence: Dorton, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 02 months, 06 days
Occupation: (blank)
Birthplace: Topmost, Ky.
Father Name: Ed ISAACS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Matilda HOWELL
Birthplace Mother: Letcher Co., Ky.
Informant/Address: Luke OSBORN, Dorton, Ky.
Burial Cremation Removal Place: Dorton, Ky.
Date: 03 March 1934
Undertaker/Address: Family, Dorton, Ky.
Filed: 03 March 1934
Registrar: C. C. Greer
Death of Date: 03 March 1934
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Bold hives
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: (blank)
Transcribed by Debbie Tamborski, 16 April 2010 |
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