DEATH CERTIFICATE

BETHANY JACOBS

Date  25 February 1920
Cert: #  5216 
Name:  Bethany JACOBS 
Place of Death: Voting Pct. #7 Caney, Knott Co., KY
Female, White, Married
Birth Date:  01 August 1882
Age:  37 years, 06 months, 23 days
Occupation:  Housewife
Place of Birth:  Knott County, Ky.
Name of Father:  Milton OWENS 
Birthplace Father:  Knott County 
Maiden Name of Mother:  Anah SLONE
Birthplace Mother:  Knott County 
Informant:  Elisha OWENS, Raven, Ky.
Death Date:  25 February 1920 
Cause of Death:  Flu 
Signed:  J. W. Duke, M.D.
Burial Place:  Anah Owens Cemetery 
Date of Burial:  27 February 1920 
Undertaker:  Elisha Owens, Raven 
File Date:  06 March 1920 
Transcribed by Debbie Tamborski, 13 January 2009