DEATH CERTIFICATE

ANDREW PATRICK

Date  23 July 1936
Cert:  Original #27737      Duplicate #33615    
Name:   Andrew PATRICK
Place of Death: Voting Pct. Lower Ball, Knott Co., KY
Residence:  Talcum, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  (blank)
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:  Knott Co., Ky.
Informant:  James PATRICK, Talcum, Ky.
Death Date:  23 July 1936
Cause of Death:  Killed with a gun loaded with powder & ball
Signed:  no physician 
Burial Place:  Patrick
Date of Burial:  24 July 1936
Undertaker:  Ray Cobrun, Talcum, Ky.
File Date:  24 July 1936
Registrar:  J. G. Martin
Transcribed by Debbie Tamborski, 19 September 2009