DEATH CERTIFICATE

FORSTER MCINTOSH

Date  19 August 1919
Cert: #  23801
Name:  Forster McINTOSH
Male, White, Single
Age: 10 minutes
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 19 August 1919
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  McKinley McINTOSH
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Hettie PRIDEMORE
Birthplace Mother:  Knott Co., Ky.
Informant:  McKinley McINTOSH, Smithsboro, Ky.
Death Date:  19 August 1919
Cause of Death:  not known
Signed:  Matilda Ashley, M.W.
Burial Place:  Davis Franklins
Date of Burial:  19 August 1919
Undertaker:  McKinley McIntosh, Smithsboro, Ky.
File Date:  19 August 1919
Transcribed by Debbie Tamborski, 14 November 2008