DEATH CERTIFICATE
JACK NEWSOM

Date    16 February 1915
Deathvol Vol:   1915
Cert: #  4657
Name:  Jack NEWSOM
Male, White, Married
Age:  23 years, 6 months, 10 days
Place of Death: Voting Pct. No. 3, Dema, Knott Co., KY
Birth Date:  06 June 1891                                          Occupation:  Farmer
Place of Birth:  Ky.
Father:  Dave NEWSOM                                                 Birthplace Father:  Ky.
Mother:  Alafair MULLINS                                                       Birthplace Mother:  Ky.
Informant:  Ellis HOPKINS, Kite, Ky.
Death Date:  16 February 1915
Cause of Death:  Tuberculosis
Signed:  (Blank)
Burial Place:  Mouth of Dry Creek
Undertaker:  Lee Stewart, Dema, Ky.
File Date: 16 March 1915
Transcribed by Debbie Tamborski, 03 August 2008