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DEATH
CERTIFICATE
CHARLEY JACOBS
Date 08 January 1929
Cert: # 3128
Name: CHARLEY JACOBS
Place of Death: Voting Pct. Upper Caney, Knott Co., KY
Male, White, Single
Birth Date: 26 December 1928
Age: 13 days
Occupation: At home
Place of Birth: Ky.
Name of Father: Thomas JACOBS
Birthplace Father: Ky.
Maiden Name of Mother: Beth SLONE
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 08 January 1929
Cause of Death: Flu
Signed: (blank)
Burial Place: Owens Cemetery
Date of Burial: 09 January 1929
Undertaker: Irvin Jacobs, Pippapass, Ky.
File Date: 09 January 1929
Transcribed by Debbie Tamborski, 13 January 2009 |
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