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DEATH
CERTIFICATE
Not Named
Date 10 April 1934
Cert: # 9804
Name: Not Named
Place of Death: Voting Pct. Spider, Knott Co., KY
Residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 04 hours, 10 minutes
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: William MOORE
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Glo STAMPER
Birthplace Mother: Spider, Ky.
Informant: Benton STAMPER
Death Date: 10 April 1934
Cause of Death: Lobar pneumonia
Signed: M. F. Kelly, M.D., Hindman, Ky.
Burial Place: Stamper Cemetery
Date of Burial: 11 April 1934
Undertaker: Benton Stamper
File Date: 13 April 1934
Transcribed by Debbie Tamborski, 14 July 2009 |
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