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DEATH
CERTIFICATE
ELISEBETH PATRICK
Date 05 April 1921
Cert: # 10687
Name: Elisebeth PATRICK
Place of Death: Voting Pct. Talcum, Knott Co., KY
Female, White, Single
Birth Date: 05 April 1902
Age: 19 years, 01 months, 05 days
Occupation: Scool girl [sic]
Place of Birth: Knott Co., Ky.
Name of Father: Martin PATRICK
Birthplace Father: Kentucky
Maiden Name of Mother: Elen COMBS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 05 April 1921
Cause of Death: Cebral meningitis
Signed: M. F. Kelley, M.D.
Burial Place: Patrick Cemetery
Date of Burial: 06 April 1921
Undertaker: Martin Patrick, Talcum, Ky.
File Date: 21 May 1921
Transcribed by Debbie Tamborski, 27 January 2009 |
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