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DEATH
CERTIFICATE
ELSIE KELLY
Date 05 November 1927
Cert: # 28559
Name: Elsie KELLY
Place of Death: Voting Pct. #6, Knott Co., KY
Female, White, Widow
Birth Date: 26 August 1865
Age: 62 years, 02 months, 11 days
Occupation: Housewife
Place of Birth: Knott Co., Ky.
Name of Father: Sam FRANCIS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Dicy HOGG
Birthplace Mother: Letcher
Informant: Dicy PARKS, Smithboro, Ky.
Death Date: 05 November 1927
Cause of Death: Diarrhea Contributory:
Bronchial Asthma
Signed: F. C. Roark, M.D.
Burial Place: John Stamper
Date of Burial: 07 November 1927
Undertaker: (blank)
File Date: 20 December 1927
Transcribed by Debbie Tamborski, 14 January 2009 |
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