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DEATH
CERTIFICATE
(Infant) PATRICK
Date 01 September 1926
Cert: # 9103
Name: (Infant) PATRICK
Place of Death: Voting Pct. Upper Ball, Yellow Mt., Knott Co.,
KY
Male, White, Single
Birth Date: (blank)
Age: (blank)
Occupation: (none)
Place of Birth: Knott Co., Ky.
Name of Father: Dial PATRICK
Birthplace Father: Kentucky
Maiden Name of Mother: Dausee MESSER
Birthplace Mother: Kentucky
Informant: Dial PATRICK, Yal Mt., Ky.
Death Date: (blank)
I hereby certify that I attended deceased from
Sept. 1, 1926 to Sept. 11, 1926, that I last saw him alive on
Sept. 1, 1926 and that death occurred on the date above at 8
p.m.
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Patrick Cemetery
Date of Burial: 02 September 1926
Undertaker: Dial Patrick, Yellow Mt., Ky.
File Date: 10 October 1926
Transcribed by Debbie Tamborski, 27 January 2009 |
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