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DEATH
CERTIFICATE
IVAN MCINTOSH
Date 18 October 1922
Cert: # Duplicate 24873 Original #
22509
Name: Ivan McINTOSH
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White
Birth Date: 18 October 1915
Age: 07 years
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Marion McINTOSH
Birthplace Father: Ky.
Maiden Name of Mother: Alla PIGMAN
Birthplace Mother: Ky.
Informant: Marion McINTOSH, Pine Top, Ky.
Death Date: 18 October 1922
Cause of Death: Bloody Flux
Signed: (blank)
Burial Place: McIntosh Cemetery
Date of Burial: 18 October 1922
Undertaker: (blank)
File Date: 10 December 1922
Transcribed by Debbie Tamborski, 16 January 2009 |
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