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DEATH
CERTIFICATE
NEEL MOSLEY
Date 10 May 1923
Cert: 18071
Place of Death: Voting Precinct: Floyd Co., Ky.
Full Name: Neel MOSLEY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: May 10, 1923 (transcribed as written)
Age: 07 years, 07 months, 10 days
Occupation: (blank)
Birthplace: Knott Co.
Name of Father: Bill MOSLEY
Birthplace Father: (Lornce--illegible) Co.
Maiden name of Mother: Rocksey SLONE
Birthplace Mother: (illegible) Ky.
Informant/Address: Susan (illegible), Orkney
Filed: (blank)
Registrar: (blank)
Death Date: 10 May 1923
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: (illegible--?worms?)
Duration: 03 days
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (illegible Fed PO Ky.)
Place of Burial or Removal: (?Akers?) Simatry
Date of Burial: 12 May 1923
Undertaker/Address: Linds Hook, Fed, Ky.
Transcribed by Debbie Tamborski, 20 March 2010 |
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