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DEATH
CERTIFICATE
JOE NOBLE
Date 14 January 1923
Cert: Duplicate #0303 Original
#0298
Place of Death: Vot. Precinct: #22, Clayhole, Breathitt Co.,
KY
Full Name: Joe NOBLE
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 12 January 1896
Age: 26 years, 02 days
Occupation: Coal Miner
Birthplace: Knott Co.
Name of Father: Wm. NOBLE
Birthplace Father: Breathitt Co.
Maiden name of Mother: Polly GRIGSBY
Birthplace Mother: Perry Co.
Informant/Address: H. G. NOBLE, Clayhole, Ky.
Filed: 17 January 1923
Registrar: Julia T. Allen
Death Date: 14 January 1923
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Tuberculosis
Duration: (blank)
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Clayhole, Ky.
Date of Burial: 16 January 1923
Undertaker/Address: S. H. McIntosh, Clayhole, Ky.
Transcribed by Debbie Tamborski, 20 March 2010 |
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