DEATH CERTIFICATE

AUTHOR MOORE

Date 30 November 1912
Deathvol
Vol:   1912
Cert: # 28339
Name: Author MOORE
Mamale, White, Single
Age: Not Listed
Place of Death: Voting Pct Ballard, Jones Fork, Knott Co., KY
Birth Date: 30 November 1912
Place of Birth: KY
Father: Earnest MOORE                                            Birthplace Father: KY
Mother: Eliza HIX                                                        Birthplace Mother: KY
Informant: Not Listed
Death Date: 30 November 1912
Cause of Death: Asphyxia       Contributory: Prematurely born
Signed:   M. V. Wicker, M.D.
Burial Place: Sutton Graveyard
Undertaker: Earnest Moore
File Date: 6 December 1912
Transcribed by Debbie Tamborski, 17 June 2008