DEATH CERTIFICATE

JEFERSON MULLENS

Date  04 December 1923
Cert: #  31091
Name:  Jeferson MULLENS
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White, Married
Birth Date:  16 January 1895 
Age:  28 years
Occupation:  Farmer 
Place of Birth:  Ky.
Name of Father:  James MULLENS 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Betsie AMBURGEY
Birthplace Mother:  Ky. 
Informant:  James MULLENS, Pine Top, Ky.
Death Date:  04 December 1923 
Cause of Death:  Killed in mines 
Signed:  (blank)
Burial Place:  W. S. Amburgey 
Date of Burial:  05 December 1923 
Undertaker:  F. H. Thomas, Pinetop, Ky. 
File Date:  17 December 1923 
Transcribed by Debbie Tamborski, 27 January 2009