DEATH CERTIFICATE

VIRGIE NICKOLSON

Date  10 July 1934
Cert:  22950
Name:  Virgie NICKOLSON
Place of Death: Vot. Pct. Lower Jones Fork 19, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Married
Husband or Wife of:  Lewis NICKOLSON
Birth Date:  25 February 1915
Age: 19 years, 04 months, 15 days
Occupation:  Housewife
Place of Birth:  Ky.
Name of Father:  Stumbo THORNSBERY
Birthplace Father:  Ky.
Maiden Name of Mother:  Margarett GIBSON
Birthplace Mother:  Ky.
Informant:  Margaret THORNSBERY, Mousie, Ky.
Death Date:   10 July 1934 
Cause of Death:  Emphysema
Signed:  T. J. Chandler, M.D., Lackey, Ky.
Burial Place:  Bob Conley Cemetery
Date of Burial:  12 July 1934
Undertaker:  none
File Date:  08 October 1934
Transcribed by Debbie Tamborski, 23 July 2009