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DEATH
CERTIFICATE
WILLARD PARKS
Date 13 November 1922
Cert: # 27755
Name: Willard PARKS
Place of Death: Voting Pct. #6 Sassafras, Knott Co., KY
Male, White, Single
Birth Date: 20 December 1911
Age: 10 years, 10 months, 24 days
Occupation: (blank)
Place of Birth: Knott County, Kentucky
Name of Father: Isaac PARKS
Birthplace Father: Knott Co., Kentucky
Maiden Name of Mother: Dorothy KELLY
Birthplace Mother: Knott Co., Ky.
Informant: Bud Parks, Sassafras, Ky.
Death Date: 13 November 1922
Cause of Death: Diphtheria Contributory: Hemorrhage from lungs
Signed: F. W. Nuton, M.D.
Burial Place: Sassafras, Ky.
Date of Burial: 14 November 1922
Undertaker: (blank)
File Date: 10 December 1922
Transcribed by Debbie Tamborski, 27 January 2009 |
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