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DEATH
CERTIFICATE
LACY PATRICK
Date 13 January 1920
Cert: # 5220
Name: Lacy PATRICK
Place of Death: Voting Pct. #9, Knott Co., KY
Male, White, Single
Birth Date: 02 March 1897
Age: 22 years, 10 months, 11 days
Occupation: Farmer
Place of Birth: Knott Co.
Name of Father: Wm. PATRICK
Birthplace Father: Perry Co., Ky.
Maiden Name of Mother: Vina GAYHART
Birthplace Mother: Perry Co.
Informant: Dock PATRICK, Vest, Ky.
Death Date: 13 January 1920
Cause of Death: Killed by wagon running
over him loaded with RR ties
Signed: (blank)
Burial Place: Patrick Cemetery
Date of Burial: 14 January 1920
Undertaker: Daniel Gipson, Vest, Ky.
File Date: 10 March 1920
Transcribed by Debbie Tamborski, 27 January 2009 |
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