DEATH CERTIFICATE

MAGGIE MULLINS

Date 12 September 1936
Cert:  27736
Name:  Maggie MULLINS
Place of Death: Voting Pct. Stumbo Mem. Hosp., Lackey, Knott Co., KY
Residence:  Weeksbury, Ky.
Length of residence: (blank)
Female, White, Married
Husband or Wife of:  (blank)
Birth Date:  (blank)
Age: 40 years
Occupation:  Domestic
Place of Birth: Ky.
Name of Father:  Malice JOHNSON
Birthplace Father:  Ky.
Maiden Name of Mother:  Vesley HALL
Birthplace Mother:  Ky.
Informant:  Tom JOHNSON, Weeksbury, Ky.
Death Date:  12 September 1936
Cause of Death:  Lobar Pneumonia
Signed:  Dr. W. L. Stumbo., M.D., Lackey, Kentucky
Burial Place:  Weeksbury, Ky. 
Date of Burial:  14 September 1936 (October written above)
Undertaker:  G. D. Ryan, Martin, Ky.
File Date:  14 October 1936
Registrar:  Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 19 September 2009