DEATH CERTIFICATE

SAMUEL J. KILGORE

Date 03 October 1928
Cert: # 25632
Name: Samuel J. KILGORE
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Male, White, Married
Husband or Wife of:  Dora KILGORE
Birth Date:  12 October 1858
Age: 69 years, 11 months, 21 days
Occupation:  Atty
Place of Birth: Kentucky
Name of Father:  Aulisin KILGORE
Birthplace Father:  Ky.
Maiden Name of Mother:  Manerva Smith
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:  03 October 1928
Cause of Death:  Malignant Sarcoma of the jaw bone
Signed: M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery
Date of Burial:  04 October 1928
Undertaker:  R. C. Kilgore, Hindman, Ky.
File Date:  18 October 1928
Transcribed by Debbie Tamborski, 14 January 2009