DEATH CERTIFICATE

PHEBE JANE JACOBS

Date   22 August 1935
Cert:  20242 
Name:  Phebe Jane JACOBS
Place of Death: Voting Pct. Upper Caney, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank) 
Female, White, Single
Husband or Wife of: (blank) 
Birth Date:  19 May 1935
Age: 03 months, 03 days
Occupation:  (blank) 
Place of Birth:  Pippapass, Ky.
Name of Father:  John JACOBS
Birthplace Father:  Pippapass, Ky. 
Maiden Name of Mother:  Cordelia SLONE
Birthplace Mother:  Hollybush, Ky. 
Informant:  John JACOBS, Pippapass, Ky. 
Death Date:  22 August 1935 
Cause of Death:   Chronic Dysentery 
Signed:  (blank) 
Burial Place: J. P. Slone Cemetery
Date of Burial:  23 August 1935
Undertaker:  John Jacobs, Pippapass, Ky.
File Date:  26 August 1935
Transcribed by Debbie Tamborski, 13 August 2009