DEATH CERTIFICATE

(Stillbirth) MULLINS

Date  05 October 1917
Cert: #  28264
Name: (Stillbirth) MULLINS
Girl, White
Age: Stillbirth
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date:  05 October 1917
Occupation:   (blank)
Place of Birth:  Ky.
Name of Father:  Joseph MULLINS
Birthplace Father:  Ky.
Maiden Name of Mother:  Tildy KELLY
Birthplace Mother:   Ky.
Informant:  Matilda EVRIDG, Elic, Ky.
Death Date:  05 October 1917
Cause of Death:  weekly woman in childbirth
Signed:  (blank)
Burial Place:  John Kellys
Date of Burial:  06 October 1917
Undertaker:  (blank)
File Date:  07 October 1917
Transcribed by Debbie Tamborski, 15 November 2008