DEATH CERTIFICATE

NAOMA MILLER

Date  02 December 1912
Cert: #  31961 
Name:  Naoma MILLER 
Female, White, Single
Age:  02 months, 15 days
Place of Death: Voting Precinct Lost Creek, Perry Co., KY
Birth Date:  17 September 1912 
Occupation:  None 
Place of Birth:  Kentucky 
Name of Father:  Marion MILLER 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Cordelia MILLER 
Birthplace Mother:  Kentucky 
Informant:  Marion MILLER, Ned, Ky. 
Death Date:  02 December 1912 
Cause of Death:  membrainous croup 
Signed:  Marion Miller, father of child
Burial Place:  Angles Rest 
Date of Burial: 03 December 1912 
Undertaker:  Ned Turner, Ned, Ky. 
File Date:  04 December 1912 
Transcribed by Debbie Tamborski, 03 December 2008