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DEATH
CERTIFICATE
CHARLY MOORE
Date 10 December 1926
Cert: # 1700
Name: Charly MOORE
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Single
Birth Date: 05 May 1921
Age: 05 years, 07 months, 05 days
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: C. M. MOORE
Birthplace Father: Ky.
Maiden Name of Mother: Linzey HIX
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 10 December 1926
Cause of Death: Dilatation of the heart caused by
rheumatism
Signed: M. F. Kelley, M.D.
Burial Place: Moore Cemetery
Date of Burial: 11 December 1926
Undertaker: C. M. Moore, Hindman, Ky.
File Date: 13 December 1926
Transcribed by Debbie Tamborski, 17 January 2009 |
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