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DEATH
CERTIFICATE
RACHEL JACOBS
Date 29 February 1920
Cert: # 5215
Name: Rachel JACOBS
Place of Death: Voting Pct. #7 Caney, Knott Co., KY
Female, White, Married
Birth Date: 19 August 1880
Age: 39 years, 06 months, 10 days
Occupation: Housewife
Place of Birth: Knott County
Name of Father: Reece SLONE
Birthplace Father: Ky.
Maiden Name of Mother: Nancy JOHNSON
Birthplace Mother: Ky.
Informant: Sarah SLONE, Pippapass, Ky.
Death Date: 29 February 1920
Cause of Death: Spanish Influenza
Signed: J. W. Duke, M.D.
Burial Place: J. P. Slone Cemetery
Date of Burial: 01 March 1920
Undertaker: Jackson Slone, Pippapass
File Date: 06 March 1920
Transcribed by Debbie Tamborski, 13 January 2009 |
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