DEATH CERTIFICATE

CHESTER PATRICK

Date  28 October 1919
Cert: #  30406
Name: Chester PATRICK
Male, White
Age:  Stillbirth
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date:  28 October 1919
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  John D. PATRICK
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Roushia RICHIE
Birthplace Mother:  Knott Co.
Informant:  Julia FUGATE, Vest, Ky.
Death Date:  28 October 1919
Cause of Death:  Stillbirth
Signed:  (blank)
Burial Place:  Dobson
Date of Burial:  28 October 1919
Undertaker:  D. Gipson, Vest, Ky.
File Date:  31 October 1919
Transcribed by Debbie Tamborski, 18 November 2008