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 |
|