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DEATH
CERTIFICATE
(Unnamed) JACOBS
Date 31 May 1928
Cert: # 20451
Name: (Unnamed) JACOBS
Place of Death: Voting Pct. #18 Upper Caney,
Raven, Knott Co., KY
Female, White
Birth Date: 26 May 1928
Age: 05 days
Occupation: At home
Place of Birth: Knott Co., Ky.
Name of Father: Henry JACOBS
Birthplace Father: Kentucky
Maiden Name of Mother: Katy SLONE
Birthplace Mother: Kentucky
Informant: Henry JACOBS, Raven, Ky.
Death Date: 31 Mary 1928
Cause of Death: Inanition Contributory:
Frequent vomiting & unable to take nourishment from mother
Signed: No physician
Burial Place: Alice Slone Cemetery
Date of Burial: 01 June 1928
Undertaker: Kanawha Slone, Raven, Ky.
File Date: 08 June 1928
Transcribed by Debbie Tamborski, 13 January 2009 |
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