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DEATH
CERTIFICATE
MICHEL KELLEY
Date 04 August 1921
Cert: # 9619
Name: Michel KELLEY
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Single
Birth Date: 24 January 1921
Age: 06 months, 13 days
Occupation: non
Place of Birth: Ky.
Name of Father: David KELLEY
Birthplace Father: Ky.
Maiden Name of Mother: Delley HALL
Birthplace Mother: (blank)
Informant: David KELLEY, Elic, Ky.
Death Date: 04 Augut 1921
Cause of Death: Croup
Signed: R. L. Kelley, M.D.
Burial Place: John Kelley
Date of Burial: 04 August 1912(transcribed as written)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 14 January 2009 |
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