|
DEATH
CERTIFICATE
GEORGE MOORE
Date 17 March 1921
Cert: # 8396
Name: George MOORE
Place of Death: Voting Pct. Leburn, Knott Co., KY
Male, White, Single
Birth Date: 01 March 1921
Age: 16 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Thomas MOORE
Birthplace Father: Kentucky
Maiden Name of Mother: Anna TRIPLETT
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 17 March 1921
Cause of Death: Infantile paralysis
Signed: M. F. Kelley, M.D.
Burial Place: Jim Slones Cemetery
Date of Burial: 18 March 1921
Undertaker: Thomas Moore, Leburn, Ky.
File Date: 30 March 1921
Transcribed by Debbie Tamborski, 17 January 2009 |
|