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DEATH
CERTIFICATE
POLLEYAN MOSELY
Date 23 March 1918
Cert: # 11117
Name: Polleyan MOSELY
Female, White, Single
Age: 83 years, 08 months, 19 days
Place of Death: Voting Precinct #1, Hindman, Knott Co., KY
Birth Date: 04 June 1834
Occupation: Housewife
Place of Birth: Letcher Co., Ky.
Name of Father: Samuel MAGGARD
Birthplace Father: Va.
Maiden Name of Mother: Nancy COLLINS
Birthplace Mother: Va.
Informant: (blank)
Death Date: 23 March 1918
Cause of Death: Malignant sarcoma of nose and face
Signed: M. F. Kelley, M.D.
Burial Place: Draughn Cemetery
Date of Burial: 24 March 1918
Undertaker: Henry Howard, Leburn, Ky.
File Date: 20 May 1918
Transcribed by Debbie Tamborski, 14 November 2008 |
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