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DEATH
CERTIFICATE
FLORA PATRICK
Date 26 November 1921
Cert: # 27294
Name: Flora PATRICK
Place of Death: Voting Pct., Knott Co., KY
Female, White, Single
Birth Date: 26 November 1921
Age: 00 years, 00 months, 00 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: James PATRICK
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Selie TERRY
Birthplace Mother: Knott Co.
Informant: Wm. WOOTON, Tina, Ky.
Death Date: 26 November 1921
Cause of Death: Stillbirth
Signed: Sallie Wooton, M.D.
Burial Place: Patric Grave
Date of Burial: 23 November 1921
Undertaker: (blank)
File Date: 02 December 1921
Transcribed by Debbie Tamborski, 27 January 2009 |
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