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DEATH
CERTIFICATE
NANCY JACOBS
Date 01 November 1929
Cert: # 32447
Name: Nancy JACOBS
Place of Death: Voting Pct. #18 Upper Caney,
Pippapass, Knott Co., KY
Female, White, Single
Birth Date: 15 April 1922
Age: 07 years, 06 months, 16 days
Occupation: School Girl
Place of Birth: Knott Co., Ky.
Name of Father: John JACOBS
Birthplace Father: Ky.
Maiden Name of Mother: Susse SLONE
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 01 November 1929
Cause of Death: (?Dentist?) wound in head accident
Signed: M. F. Kelley, M.D.
Burial Place: Jacob Cemeter
Date of Burial: 02 November 1929
Undertaker: John Jacobs, Pippapass, Ky.
File Date: 10 November 1929
Transcribed by Debbie Tamborski, 13 January 2009 |
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