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DEATH
CERTIFICATE
CHARLES ROBERT JOHNS
Date 03 December 1936
Cert: Original #33610 Duplicate #72?6
Name: Charles Robert JOHNS
Place of Death: Voting Pct. Stumbo M. Hosp.
Lackey, Knott Co., KY
Residence: Bevensville, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 20 February 1935
Age: 01 years, 09 months
Occupation: (blank)
Place of Birth: Herald, Ky.
Name of Father: Charles R. JOHNS
Birthplace Father: Herald, Ky.
Maiden Name of Mother: Mary Mae BLACKBURN
Birthplace Mother: Ky.
Informant: Charles JOHNS, Bevensville, Ky.
Death Date: 03 December 1936
Cause of Death: Pneumonia
Contributory: Paralytic ???
Signed: Orris Gearheart, M.D., Martin, Ky.
Burial Place: Hopkins Cemetery, Herald, Ky.
Date of Burial: 07 December 1936
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 10 December 1936
Registrar: Dr. G. C. Collins, M.D., Lackey, Ky.
Transcribed by Debbie Tamborski, 19 September 2009 |
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