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DEATH
CERTIFICATE
RICHARD MAXIE
Date 31 December 1921
Cert: # 1756
Name: Richard MAXIE
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Male, White, Single
Birth Date: 10 May 1900
Age: 22 years, 07 months, 21 days
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: Bill MAXIE
Birthplace Father: Kentucky
Maiden Name of Mother: Rhoda VANOVER
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 31 December 1921
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Amburgey Cemetery
Date of Burial: 01 January 1922
Undertaker: Bill MAXIE, Pinetop, Ky.
File Date: 10 January 1922
Transcribed by Debbie Tamborski, 16 January 2009 |
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