|
DEATH
CERTIFICATE
MARY ANN NOBLE
Date 07 March 1912
Cert: # 11557
Name: Mary Ann NOBLE
Female, White, Single
Age: 01 years, 01 months, 10 days
Place of Death: Voting Precinct #3, Perry Co., KY
Birth Date: 26 January 1911
Occupation: None
Place of Birth: Kentucky
Name of Father: Brack NOBLE
Birthplace Father: Kentucky
Maiden Name of Mother: Polly Ann MILLER
Birthplace Mother: Kentucky
Informant: Brack NOBLE, Dwarf, Ky.
Death Date: 07 March 1912
Cause of Death: Pneumonia
Contributory: Pertussis
Signed: S. M. Richie, M.D.
Burial Place: Engle Cemetery
Date of Burial: 08 March 1912
Undertaker: M. S. Miller, Dwarf, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 03 December 2008 |
|