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DEATH
CERTIFICATE
ADAM E. MOSLEY
Date 05 September 1934
Cert: 4655
Name: Adam E. MOSLEY
Place of Death: Voting Pct. Upper Caney,
Hollybush, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Belle SLONE
Birth Date: 13 January 1895
Age: 39 years, 07 months, 23 days
Occupation: Farmer
Place of Birth: Floyd County, Kentucky
Name of Father: John D. SLONE
Birthplace Father: Hollybush, Ky.
Maiden Name of Mother: Rachel MOSLEY
Birthplace Mother: Hindman, Ky.
Informant: Harmon (his x mark) DAVIS, Hollybush
Death Date: 05 September 1934
Cause of Death: Influenza
Contributory: Tuberculosis
Signed: (blank)
Burial Place: E. H. Owens Grave
Date of Burial: 06 September 1934
Undertaker: Harmon (his x mark) Davis, Hollybush
File Date: 08 September 1934
Transcribed by Debbie Tamborski, 23 July 2009
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