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DEATH
CERTIFICATE
GEORGE W. OLIVER
Date 31 October 1924
Cert: 26954
Place of Death: Voting Precinct: Newcomb, Elliott Co.,
Ky.
Full Name: George W. OLIVER
Sex, Color or Race, Marital Status: Male, White, (blank)
Date of Birth: 1870
Age: 54 years
Occupation: (blank)
Birthplace: Knot Co., Ky.
Name of Father: J. D (illegible) OLIVER
Birthplace Father: Knot Co., Ky.
Maiden name of Mother: not named
Birthplace Mother: not named
Informant/Address: J. R. BRANHAM, Albert, Ky.
Filed: (blank)
Registrar: Joe Ison
Death Date: 31 October 1924
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: Fractured skull
Duration: (blank)
Contributory: (blank)
Signed/Address: A. M. Lyon, M.D., 06 December 1924,
Sandy Hook, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Oliver P. B. G.
Date of Burial: 06 December 1924
Undertaker/Address: Danel Oliver, Albert, Ky.
Transcribed by Debbie Tamborski, 20 March 2010 |
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