DEATH
CERTIFICATE
JAMES EDWARD MCDANIELS
Date 19 July 1937
Cert: 21745 (trancriber's note: or 21743)
Name: James Edward MCDANIELS
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 11 months, 10 days
Occupation: none
Place of Birth: Knott Co., Ky.
Name of Father: Mort MCDANIELS
Birthplace Father: Kentucky
Maiden Name of Mother: Grace CAUDILL
Birthplace Mother: Kentucky
Informant: Grace MCDANIELS, Hindman
Death Date: 19 July 1937
Cause of Death: Lobar pneumonia brought on by the
influenza
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Short Cemetery
Date of Burial: 20 July 1937
Undertaker: Mort McDaniels, Hindman, Ky.
File Date: 02 September 1937
Registrar: Rhoda C. Kelly
Transcribed by Debbie Tamborski, 03 October 2009 |
|