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DEATH
CERTIFICATE
HENRY MOTEN
Date 04 April 1918
Cert: # 23347
Name: Henry MOTEN
Male, White, Married
Age: 22 years, 03 months, 16 days
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date: (blank)
Occupation: Farmer
Place of Birth: Ky.
Name of Father: Richard MOTEN
Birthplace Father: Ky.
Maiden Name of Mother: Mary SEALS
Birthplace Mother: Tenn.
Informant: Richard MOTEN, Pinetop, Ky.
Death Date: 04 April 1918
Cause of Death: Tuberculosis
Signed: (blank)
Burial Place: Semore Amburgey
Date of Burial: 05 April 1918
Undertaker: (illegible)
File Date: 10 October 1918
Transcribed by Debbie Tamborski, 14 November 2008 |
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