DEATH CERTIFICATE

PALLON MEICE

Date  05 August 1927
Cert: #  7330
Name:  Pallon MEICE
Place of Death: Voting Pct. #2, Knott Co., KY
Female, White, Single
Birth Date:  (blank)
Age:  03 months, 02 days
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Jackin MEICE 
Birthplace Father:  Ky. 
Maiden Name of Mother: Suca GIPSON
Birthplace Mother:  Ky. 
Informant:  Suca GIPSON
Death Date:  05 August 1927
Cause of Death:  Head rise Meningitis simple 
Signed:  (blank)
Burial Place:  W. S. Amburgey 
Date of Burial:  05 August 1927 
Undertaker:  Henry D(illegible), Pine Top 
File Date:  09 August 1927 
Transcribed by Debbie Tamborski, 27 January 2009