DEATH CERTIFICATE

EVA MILLER

Date  3 January 1911
Deathvol 
Vol:   1912
Cert: # 11460
Name: Eva MILLER
Female, White, S.
Age: 3 years
Place of Death: Voting Pct No. #9, Vest, Knott Co., KY
Birth Date:  3 January 1908
Place of Birth:  Not Listed
Father:  Jack MILLER
Mother:  Adaline TERRY
Informant:  Jack MILLER
Death Date:  3 January 1911
Cause of Death:  Membranous Croup
Signed:   M. F. Kelley, M.D.
Burial Place:  Grigsby
Undertaker:  Not Listed
File Date:  6 June 1912
Transcribed by Debbie Tamborski, 1 May 2008