DEATH CERTIFICATE

ARNOLD PATRICK

Date  04 November 1930
Cert: #  27986
Name:  Arnold PATRICK
Place of Death: Voting Pct. 9, Knott Co., KY
Male, White, Single
Birth Date:  02 November 1930
Age: 00 years, 00 months, 02 days
Occupation:  (blank)
Place of Birth: Ky.
Name of Father:  Zach PATRICK
Birthplace Father:  Talcum, Ky.
Maiden Name of Mother:  RICHIE
Birthplace Mother:  Kentucky
Informant:  Sidney FITZPATRICK, Ary, Ky.
Death Date:  04 November 1930
Cause of Death:  Bowels wouldn't act
Signed: Sidney Fitzpatrick, M.W.
Burial Place:  (blank)
Date of Burial:  05 November 1930
Undertaker:  Z. Patrick, Talcum, Ky.
File Date:  01 December 1930
Transcribed by Debbie Tamborski, 24 June 2009