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DEATH
CERTIFICATE
OTTIE LITTLE
Date 27 July 1941
Cert: 19453
Place of Death: Voting Pct. Melvin, Floyd Co., Ky.
Full Name: Ottie LITTLE
Residence: Melvin, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Bertha LITTLE
Date of Birth: 25 March 1911
Age: 30 years, 03 months, 02 days
Occupation: Farmer
Birthplace: Knott Co., Ky.
Father Name: Andy LITTLE
Birthplace Father: Pike Co.
Mother Maiden Name: Sis HALL
Birthplace Mother: Letcher Co.
Informant/Address: Andy LITTLE, Melvin, Ky.
Burial Cremation Removal Place: Burial - Melvin, Ky.
Date: 28 July 1941
Undertaker/Address: J. L. Malone, Bypro, Ky.
Filed: 30 August 1941
Registrar: Mrs. Ben Norris
Death of Date: 27 July 1941
I hereby certify, That I attended deceased from (blank) to 27
July 1941, that I last saw him alive on 27 July 1941, death is
said to have occurred on the date stated above, at 8 p.m.
Cause of Death: unknown
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: W. P. Osborne, Bypro, Ky.
Transcribed by Debbie Tamborski, 13 May 2010 |
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