DEATH CERTIFICATE

IVIN MCINTOSH

Date  18 October 1922
Cert: #  Original 22509  Duplicate # 24873
Name:  Ivin McINTOSH
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Male, White, Single
Birth Date:  15 May 1914
Age:  08 years, 05 months, 08 days
Occupation:  School Boy
Place of Birth:  Knott Co., Ky.
Name of Father:  Marion McINTOSH
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Allie PIGMAN
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  18 October 1922
Cause of Death:  Bloody flux
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery 
Date of Burial:  19 October 1922 
Undertaker:  Marion McIntosh, Pinetop, Ky. 
File Date:  10 November 1922 
Transcribed by Debbie Tamborski, 16 January 2009