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DEATH
CERTIFICATE
(Stillbirth) KELLEY
Date 03 January 1917
Cert: # 1980
Name: (Stillbirth) KELLEY
Girl, White, Single
Age: Stillbirth
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 03 January 1917
Occupation: None
Place of Birth: Ky.
Name of Father: G. W. KELLEY
Birthplace Father: Ky.
Maiden Name of Mother: Faney MILLER
Birthplace Mother: Ky.
Informant: Matilda EVRIDG, Elic, Ky.
Death Date: 03 January 1917
Cause of Death: (blank)
Signed: Matilda Evridg, M.D.
Burial Place: John Kelley
Date of Burial: 05 January 1917
Undertaker: (blank)
File Date: 04 January 1917
Transcribed by Debbie Tamborski, 13 November 2008 |
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