DEATH CERTIFICATE

DEMUER MCINTOSH

Date  10 January 1919
Cert: #  18995
Name: Demuer McINTOSH
Male, White
Age: 01 years, 02 months, 14 days
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date:  24 October 1917
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Marion McINTOSH
Birthplace Father:  Ky.
Maiden Name of Mother:  Allie PIGMAN
Birthplace Mother:  Ky.
Informant:  Marion McINTOSH, Pine Top, Ky.
Death Date:  10 January 1919
Cause of Death:  Influenza
Signed:  (blank)
Burial Place:  M Cemetery
Date of Burial:  29 December 1918(as written)
Undertaker: (blank)
File Date:  10 June 1919
Transcribed by Debbie Tamborski, 14 November 2008