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DEATH
CERTIFICATE
KID JACOBS
Date 05 October 1916
Cert: # 1985
Name: Kid JACOBS
Male, White, Single
Age: 02 years, 10 months, 15 days
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date: 20 December 1913
Occupation: Nothing
Place of Birth: Ky.
Name of Father: Pleasant JACOBS
Birthplace Father: Ky.
Maiden Name of Mother: Rebecca SPARKMAN
Birthplace Mother: Ky.
Informant: Pleasant JACOBS, Mallie, Ky.
Death Date: 05 October 1916
Cause of Death: Diphtheria
Signed: (blank)
Burial Place: Sparkman Cemetery
Date of Burial: 06 October 1916
Undertaker: Pleasant Jacobs, Mallie, Ky.
File Date: 25 January 1917
Transcribed by Debbie Tamborski, 12 November 2008 |
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