DEATH CERTIFICATE

MAREE KELLEY

Date  07 October 1920
Cert: #  27717
Name:  Maree KELLEY
Place of Death: Voting Pct., Knott Co., KY
Female, White, Single
Birth Date:  10 September 1919
Age:  11 months, 02 days
Occupation:  (blank)
Place of Birth:  Knott
Name of Father:  Sam KELLEY 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Cuba KELLEY
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  07 October 1920 
Cause of Death:  Broncho pneumonia 
Signed:  M. F. Kelley, M.D.
Burial Place:  Young Cemetery 
Date of Burial:  08 October 1920 
Undertaker:  Sam Kelley, Elic, Ky.
File Date:    (blank) 
Transcribed by Debbie Tamborski, 14 January 2009