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DEATH
CERTIFICATE
WILLIAM McINTIRE
Date 22 September 1912
Cert: # 23398
Name: William McINTIRE
Female, White, Single
Age: two years
Place of Death: Voting Precinct Macys Creek, Perry Co., KY
Birth Date: 21 September 1910
Occupation: Blank
Place of Birth: Forte Branch, Ky.
Name of Father: Alex McINTIRE
Birthplace Father: Forte Branch
Maiden Name of Mother: Cord SINGLETON
Birthplace Mother: Crockettsville, Ky.
Informant: Cord McINTIRE, Fort Branch
Death Date: 22 September 1912
Cause of Death: Diphtheria
Signed: F. C. Roark, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 10 October 1912
Transcribed by Debbie Tamborski, 03 December 2008 |
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