|
DEATH
CERTIFICATE
MARTIN JACOBS
Date 24 December 1916
Cert: # 30994
Name: Martin JACOBS
Male, White, Single
Age: 05 hours
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date: 24 December 1916
Occupation: Nothing
Place of Birth: Knott Co., Ky.
Name of Father: Bates JACOBS
Birthplace Father: Ky.
Maiden Name of Mother: Sallie SLONE
Birthplace Mother: Ky.
Informant: Abisha SLONE, Mallie, Ky.
Death Date: 24 December 1916
Cause of Death: Born before the proper time
Contributory: Overwork of mother
Signed: (blank)
Burial Place: R. G. Sparkman Cemetery
Date of Burial: 25 December 1916
Undertaker: Abisha Slone, Mallie, Ky.
File Date: 25 December 1916
Transcribed by Debbie Tamborski, 12 November 2008 |
|