DEATH CERTIFICATE

ANDREW PATRICK

Date  23 July 1936
Cert:  Duplicate #33615     Original #27737
Name:   Andrew PATRICK
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Residence:  Talcum, Ky.
Length of residence: 11, mos.
Male, White, Married
Husband or Wife of:  yes
Birth Date:  (blank)
Age: 38 years,04 months, 18 days
Occupation:  Farmer
Place of Birth: Knott Co., Ky.
Name of Father:  Hiram PATRICK
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Mary HUGHES
Birthplace Mother:  Perry Co., Ky.
Informant:  James PATRICK
Death Date:  23 July 1936
Cause of Death:  Killed with a gun loaded with powder & ball
Signed:  no physician in attendance
Burial Place:  Patrick
Date of Burial:  24 July 1936
Undertaker:  Ray Cobrun, Talcum, Ky.
File Date:  20 August 1936
Registrar:  J. G. Martin
Transcribed by Debbie Tamborski, 19 September 2009