DEATH CERTIFICATE

JANE MARCUM

Date    23 September 1914
Deathvol Vol:   1914
Cert: # 24008
Name: Jane Marcum
Female, White, Single
Age: (Blank)
Place of Death: Voting Pct. No. 1, Hindman, Knott Co., KY
Birth Date: 23 September 1914
Place of Birth: Knott Co., Ky.
Father: Lee MARCUM                                                 Birthplace Father: WVa.
Mother: Phaiha SUTTON                                                     Birthplace Mother: Floyd Co., Ky.
Informant: M. F. KELLEY, M.D. Hindman, Ky.
Death Date: 23 September 1914
Cause of Death: Meningitis
Signed:  M. F. Kelley, M.D.
Burial Place: Gayhart Cemetery
Undertaker: Lee Marcum, Hindman, Ky.
File Date: 30 September 1914
Transcribed by Debbie Tamborski, 27 July 2008