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DEATH
CERTIFICATE
CROCKETT PATRICK
Date 02 December 1921
Cert: # 27295
Name: Crockett PATRICK
Place of Death: Voting Pct. Ball, Knott Co., KY
Female, White, No
Birth Date: 02 December 1921
Age: 00 years, 00 months, 00 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: John D. PATRICK
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Rushia RICHIE
Birthplace Mother: Knott Co.
Informant: Julia FUGATE, Vest, Ky.
Death Date: 02 December 1921
Cause of Death: Stillbirth
Signed: (blank)
Burial Place: Dobson
Date of Burial: 02 December 1921
Undertaker: H. Dobson, Vest, Ky.
File Date: 08 December 1921
Transcribed by Debbie Tamborski, 27 January 2009 |
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