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DEATH
CERTIFICATE
JOHN MAXIE
Date 03 February 1919
Cert: # 6986
Name: John MAXIE
Male, White, Single
Age: 11 years
Place of Death: Voting Precinct 2, Pine Top, Knott Co., KY
Birth Date: 30 May 1908
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Bill MAXIE
Birthplace Father: Knott
Maiden Name of Mother: Rhoda VANOVER
Birthplace Mother: Knott Co.
Informant: Richard MAXIE, Pinetop, Ky.
Death Date: 03 February 1919
Cause of Death: Influenza
Signed: (blank)
Burial Place: Wm. S. Amburgey
Date of Burial: 04 February 1919
Undertaker: W. J. Amburgey, Pine Top, Ky.
File Date: 10 February 1919
Transcribed by Debbie Tamborski, 14 November 2008 |
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