DEATH CERTIFICATE

RANEL JACOBS

Date  03 January 1929
Cert: #  3129 
Name:  Ranel JACOBS 
Place of Death: Voting Pct. Upper Caney, Knott Co., KY
Male, White, Single
Birth Date:  23 December 1928
Age:  08 days
Occupation:  Nothing
Place of Birth:  Ky.
Name of Father:  Thomas JACOBS 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Beth SLONE
Birthplace Mother:  (blank) 
Informant:  Odis JACOBS
Death Date:  03 January 1929 
Cause of Death:  Flu 
Signed:  (blank)
Burial Place:  Owens Cemetery 
Date of Burial:  04 January 1929 
Undertaker:  Irvin Jacobs, Pippapass 
File Date:  04 January 1929 
Transcribed by Debbie Tamborski, 13 January 2009