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DEATH
CERTIFICATE
CICERO KELLEY
Date 28 August 1918
Cert: # 20835
Name: Cicero KELLEY
Male, White, Married
Age: 28 years
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: April 1890
Occupation: Farming
Place of Birth: Knott Co., Ky.
Name of Father: Geo. KELLEY
Birthplace Father: Kentucky
Maiden Name of Mother: Dicy ADAMS
Birthplace Mother: Kentucky
Informant: Thomas KELLEY, Smithsboro, Ky.
Death Date: 28 August 1918
Cause of Death: Shock by electricity caught by live wire
Signed: (blank)
Burial Place: Geo. Kelley
Date of Burial: 29 August 1918
Undertaker: Geo. Kelley, Smithsboro, Ky.
File Date: 29 August 1918
Transcribed by Debbie Tamborski, 13 November 2008 |
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