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DEATH
CERTIFICATE
NORMEN MULLINS
Date 12 November 1939
Cert: 27969
Name: Normen MULLINS
Place of Death: Knott Co., Lackey, Stumbo Memorial Hospital
Residence: Kentucky, Floyd, Garrett, Ky.
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 16 March
Age: 01 years, 10 months
Occupation: (blank)
Place of Birth: Garrett, Ky.
Name of Father: Kiser MULLINS
Birthplace Father: Noble, Ky.
Maiden Name of Mother: Adilene PRATER
Birthplace Mother: Floyd Co.
Informant: Henry MULLINS, Garrett, Ky.
Death Date: 12 November 1939
Cause of Death: Lobar pneumonia
Signed: C. B. Ison, M.D., Lackey, Ky. 06 November 1939
Burial Place: Garrett, Ky.
Date of Burial: 13 November 1939
Undertaker: W. F. Ryan, Martin, Ky.
File Date: (blank)
Registrar: (blank)
Transcribed by Debbie Tamborski, 18 November 2009 |
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