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DEATH
CERTIFICATE
VERNA NEWSOME
Date 17 January 1916
Cert: # 3535
Name: Verna NEWSOME
Female, White, Single
Age: 01 years, 11 months, 17 days
Place of Death: Voting Precinct #7, Caney, Knott Co., KY
Birth Date: 01 February 1914
Occupation: At home
Place of Birth: Knott Co., Ky.
Name of Father: Jack NEWSOME
Birthplace Father: Ky.
Maiden Name of Mother: Lovena CAUDILL
Birthplace Mother: Ky.
Informant: Marion (his X mark) TACKITT, Raven, Ky.
Death Date: 17 January 1916
Cause of Death: Pulmonary tuberculosis
Signed: (blank)
Burial Place: Joe Hall Cemetery
Date of Burial: 18 January 1916
Undertaker: Marion Tackitt, Raven, Ky.
File Date: 17 January 1916
Transcribed by Debbie Tamborski, 16 November 2008 |
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