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DEATH
CERTIFICATE
RUBEN KELLEY
Date 18 April 1922
Cert: # 9621
Name: Ruben KELLEY
Place of Death: Voting Pct. #5, Knott Co., KY
Male, White, Single
Birth Date: 11 June 1919
Age: 02 years, 10 months, 07 days
Occupation: Non
Place of Birth: Ky.
Name of Father: John D. KELLEY
Birthplace Father: Ky.
Maiden Name of Mother: Marthia LUCAS
Birthplace Mother: Ky.
Informant: J. D. KELLEY, Elic, Ky.
Death Date: 18 April 1922
Cause of Death: Arasipolis
Signed: R. L. Kelley, M.D.
Burial Place: John Kelley
Date of Burial: 18 April 1922
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 14 January 2009 |
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