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DEATH
CERTIFICATE
TOSY MESSER
Date 22 October 1915
Cert: 29022
Place of Death: Voting Precinct: Farmers, Rowan Co., Ky.
Full Name: Tosy MESSER
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: (blank)
Age: 14 years, 11 months, 24 days
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: J. B. MESSER
Birthplace Father: Perry Co., Ky.
Maiden name of Mother: Elizabeth EGAN
Birthplace Mother: Elliott Co., Ky.
Informant/Address: J. B. MESSER, Freestone, Ky.
Filed: 23 October 1915
Registrar: Maude Myers
Death Date: 22 October 1915
I hereby certify that I attended deceased from 11 September
1915, to
22 October 1915, that I last saw her alive on 22 October 1915,
and that death occurred, on the date stated above, at 8 a.m.
Cause of Death: Typhoid Fever
Duration: 01 month, 12 days
Contributory: (blank)
Signed/Address: J. B. Messer, Freestone
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Siloam Cemetery
Date of Burial: 24 October 1915
Undertaker/Address: Mrs. W. Vohn, Salt Lick, Ky.
Transcribed by Debbie Tamborski, 26 February 2010 |
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