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DEATH
CERTIFICATE
Mrs. THOMAS (SUSIE) MOSLEY
Date 04 August 1937
Cert: 20242
Name: Mrs. Thomas (Susie) MOSLEY
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Gibson, Ky.
Length of residence: (blank)
Female, White, Married
Husband or Wife of: Thomas MOSLEY
Birth Date: (blank)
Age: 65 years
Occupation: Hswf.
Place of Birth: Boyd Co., Ky.
Name of Father: BUNCH
Birthplace Father: Boyd Co., Ky.
Maiden Name of Mother: (blank)
Birthplace Mother: (blank)
Informant: Mrs. Mary WILLIAMS, Harold, Ky.
Death Date: 04 August 1937
Cause of Death: Heart dropsy
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Stumbo Cem.
Date of Burial: 05 August 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 02 September 1938
Registrar: G. C. Collins, D.D.S.
Transcribed by Debbie Tamborski, 03 October 2009 |
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