DEATH CERTIFICATE

(Still borned) McINTOSH

Date  01 February 1912
Cert: # 5363 
Name:  (Still borned) McINTOSH 
Female, White
Age:  Stillbirth
Place of Death: Voting Precinct Bowling, Perry Co., KY
Birth Date:  01 February 1912 
Occupation:  (blank) 
Place of Birth:  Buckhorn, Ky. 
Name of Father:  (blank) 
Birthplace Father:  (blank) 
Maiden Name of Mother:  Rossetta McINTOSH 
Birthplace Mother:  Perry County, Ky.
Informant:  James McINTOSH, Buckhorn, Ky. 
Death Date:  01 February 1912 
Cause of Death:  Fright stillbirth 
Signed:  Chaney Gay, M.D.
Burial Place:  Buckhorn, Ky. 
Date of Burial:  02 February 1912 
Undertaker:  James McIntosh, Buckhorn, Ky.
File Date:  27 February 1912 
Transcribed by Debbie Tamborski, 03 December 2008