DEATH CERTIFICATE

(Stillbirth) PAGE

Date  17 February 1914
Cert: #  4817
Name:  (Stillbirth) PAGE
Male, White, Single
Age:  Stillborn
Place of Death: Voting Precinct #3, Knott Co., KY
Birth Date:  17 February 1914
Occupation:  None
Place of Birth:  Ky.
Name of Father:  William PAGE
Birthplace Father:  Va.
Maiden Name of Mother:  Nancy Alice HALL
Birthplace Mother:  Ky.
Informant:  William PAGE, Ivan, Ky.
Death Date:  17 February 1914
Cause of Death:  Premature birth
Signed:  (blank)
Burial Place:  Bilden Hall Cemetery
Date of Burial:  19 February 1914
Undertaker:  Sam Hall, Ivan, Ky.
File Date:  10 March 1914
Transcribed by Debbie Tamborski, 18 November 2008