DEATH CERTIFICATE

ROSANA MOORE

Date 25 August 1912
Deathvol
Vol:   1912
Cert: # 20306
Name: Rosana MOORE
Female, White, Married
Age: 21 years, 6 months, 19 days
Place of Death: Pct No. #8, Yellow Mountain, Knott Co., KY
Birth Date: 25 August 1912*Transcriber note as appears*
Place of Birth: Knott Co., KY
Father: Wesley HIX                                                    Birthplace Father: KY
Mother: Jane CASEBOLT                                           Birthplace Mother: KY
Informant: Wesley HIX
Death Date: 25 August 1912
Cause of Death: Tuberculosis
Signed:   J. W. Duke, M.D.
Burial Place: Triplett
Undertaker: Monroe Bolen
File Date: 26 August 1912
Transcribed by Debbie Tamborski, 17 June 2008