DEATH CERTIFICATE

SUSAN MOORE

Date  28 August 1920
Cert: #  20805 
Name:  Susan MOORE 
Place of Death: Voting Pct. #4, Knott Co., KY
Female, White, Widowed
Birth Date:  25 July 18(illegible)
Age:  70 years, 01 months, 03 days
Occupation:  (blank)
Place of Birth:  Va.
Name of Father:  Clell MOSLEY 
Birthplace Father:  Va. 
Maiden Name of Mother: (illegible) THORNSBURY
Birthplace Mother:  Va. 
Informant:  Morell MOORE, Elmrock
Death Date:  28 August 1920 
Cause of Death:  Heart trouble no physician in attendance 
Signed:  (blank)
Burial Place:  Benley Cemetery 
Date of Burial:  22 August 1920 
Undertaker:  Henry Dobson, Elmrock, Ky. 
File Date:  29 August 1920 
Transcribed by Debbie Tamborski, 17 January 2009