DEATH CERTIFICATE

DOSIA MADDIN

Date    09 April 1914
Deathvol Vol:   1914
Cert: #  10810
Name:  Dosia MADDIN
Female, White, Single
Age:  4 years, 1 months, 2 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  07 February 1910                   
Place of Birth:  Knott Co., Ky.
Father:  Wm. MADDIN                                               Birthplace Father:  Knott Co., Ky.
Mother:  Tina BREEDING                                                      Birthplace Mother:  Knott Co., Ky.
Informant:  Wm. MADDIN, Smithsboro, Ky.
Death Date:  09 April 1914
Cause of Death:  Burnt to death
Signed:  M. F. Kelley, M.D.
Burial Place:  Madden Grave
Undertaker:  Wm. Maddin, Smithsboro, Ky.
File Date: 09 April 1914
Transcribed by Debbie Tamborski, 27 July 2008