DEATH CERTIFICATE

WILLARD NEWPORT

Date 17 May 1931
Cert: #  20101
Name:  Willard NEWPORT
Place of Death: Voting Pct. Lackey, Knott Co., KY
Residence:  Lackey, Ky.
Male, White, Married
Husband or Wife of:  Gussie NEWPORT
Birth Date:  05 February 1891
Age: 10 years, 03 months, 13 days
Occupation:  Miner
Place of Birth: Robbins, Tenn., Scott County
Name of Father:  Marion NEWPORT
Birthplace Father:  Robbins, Tenn., Scott County
Maiden Name of Mother:  Susie JEFFERIES
Birthplace Mother:  Robbins, Tenn., Scott County
Informant:  Mrs. A. M. CADDELL
Death Date:  17 May 1931 
Cause of Death:  Killed by slate fall in coal mine
Signed: M. V. Wicker, M.D.
Burial Place:  Stearns, Ky.
Date of Burial:  18 May 1931
Undertaker:  G. D. Ryan (shipped by)
File Date:  04 August 1931
Transcribed by Debbie Tamborski, 26 June 2009