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DEATH
CERTIFICATE
REX PARKS
Date 17 November 1922
Cert: # 27756
Name: Rex PARKS
Place of Death: Voting Pct. #6 Allock, Knott Co., KY
Male, White, Single
Birth Date: 15 May 1917
Age: 05 years, 06 months, 02 days
Occupation: (blank)
Place of Birth: Knott Co., Kentucky
Name of Father: Isaac PARKS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Dorothy KELLY
Birthplace Mother: Knott Co., Ky.
Informant: Bud PARKS, Sassafras, Ky.
Death Date: 17 November 1922
Cause of Death: Diphtheria Contributory: Acute
dilation of heart
Signed: F. W. Nuton, M.D.
Burial Place: Sassafras
Date of Burial: 17 November 1922
Undertaker: (blank)
File Date: 10 December 1922
Transcribed by Debbie Tamborski, 27 January 2009 |
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