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DEATH
CERTIFICATE
MARGARITT MILLER
Date 15 September 1919
Cert: 24814
Place of Death: Voting Precinct: Springfork, Breathitt
Co., Ky.
Full Name: Margaritt MILLER
Sex, Color or Race, Marital Status: Female, (blank),
(blank)
Date of Birth: don't no
Age: 33 years
Occupation: (blank)
Birthplace: Knott Co.
Name of Father: Robert HOWARD Sr.
Birthplace Father: Knott Co.
Maiden name of Mother: America MULLINS
Birthplace Mother: Knott
Informant/Address: Edd CLEMONS, Lambric
Filed: 16 September 1919
Registrar: A. D. Carpenter
Death Date: 15 September 1919
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Child Birth
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Ben Miller Cem.
Date of Burial: 16 September 1919
Undertaker/Address: Ben Miller, Lambric
Transcribed by Debbie Tamborski, 05 March 2010 |
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