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DEATH
CERTIFICATE
MATILDA MULLENS
Date 04 May 1922
Cert: # 11759
Name: Matilda MULLENS
Place of Death: Vot. Pct. Upper Caney #18,
Holley Bush, Knott Co., KY
Female, White, Single
Birth Date: 1896
Age: 26 years
Occupation: School Girl
Place of Birth: Kentucky
Name of Father: Robert MULLENS
Birthplace Father: Kentucky
Maiden Name of Mother: Sarah WATTS
Birthplace Mother: Kentucky
Informant: W. R. TUTTLE, Hollybush, Ky.
Death Date: 04 May 1922
Cause of Death: Tuberculosis of the lungs
Signed: M. F. Kelley, M.D.
Burial Place: Hall Cemetery
Date of Burial: 03 May 1922 (transcribed as written)
Undertaker: Rilley Tuttle, Holly Bush, Ky.
File Date: 06 May 1922
Transcribed by Debbie Tamborski, 27 January 2009 |
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