DEATH CERTIFICATE

(Stillborn) MULLINS

Date  30 December 1918
Cert: #  40508
Name: (Stillborn) MULLINS
Male, White, Child
Age: stillbirth
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date:  30 December 1918
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  John R. MULLINS
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Barbra SMITH
Birthplace Mother:  Knott Co., Ky.
Informant:  Even GREEN, Smithsboro, Ky.
Death Date:  30 December 1918
Cause of Death:  Flu  Stillbirth
Signed:  (blank)
Burial Place:  Robt. S. Cornett
Date of Burial:  30 December 1918
Undertaker:  John R. Mullins, Smithsboro, Ky.
File Date:  30 December 1918
Transcribed by Debbie Tamborski, 15 November 2008