DEATH
CERTIFICATE
SUSANA MULLENS
Date 04 March 1920
Cert: # 8948
Name: Susana MULLENS
Place of Death: Voting Pct. #2, Knott Co., KY
Female, White, Single
Birth Date: 10 June 1917
Age: 01 years, 08 months, 24 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Frank MULLENS
Birthplace Father: Kentucky
Maiden Name of Mother: Martha NEESE
Birthplace Mother: Letcher Co., Ky.
Informant: (blank)
Death Date: 04 March 1920
Cause of Death: Cebrospinal meningitis
Signed: M. F. Kelley, M.D.
Burial Place: Mullens Cemetery
Date of Burial: 05 March 1920
Undertaker: Frank Mullens, Spider, Ky.
File Date: 10 April 1920
Transcribed by Debbie Tamborski, 27 January 2009 |
|