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DEATH
CERTIFICATE
SHADE MULLINS
Date 02 July 1919
Cert: # 21499
Name: Shade MULLINS
Male, White, Child
Age: 01 years, 01 months, 01 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 01 June 1918
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: John D. MULLINS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Matilda GIBSON
Birthplace Mother: Knott Co., Ky.
Informant: Chester MULLINS, Smithsboro, Ky.
Death Date: 02 July 1919
Cause of Death: Tuberculosis of lungs
Signed: (blank)
Burial Place: Davis Franklins
Date of Burial: 03 July 1919
Undertaker: John D. Mullins, Jeff, Ky.
File Date: 03 July 1919
Transcribed by Debbie Tamborski, 15 November 2008 |
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