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DEATH
CERTIFICATE
JOHN JACOBB
Date 18 August 1937
Cert: 24185
Name: John JACOBB
Place of Death: Voting Pct. #19 Lackey, St. M.
Hosp., Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 23 years
Occupation: Farmer
Place of Birth: Knott Co.
Name of Father: Billie JACOBB
Birthplace Father: Knott Co.
Maiden Name of Mother: Siltana THOMAS
Birthplace Mother: Knott Co.
Informant: (blank), Pippapass, Ky.
Death Date: 18 August 1937
Cause of Death: Dysentery
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Pippapass, Ky.
Date of Burial: 20 August 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 30 September 1937
Registrar: Dr. G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 03 October 2009 |
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