DEATH CERTIFICATE

MARY ELLEN PATRICK

Date  11 December 1916
Cert: #  8451
Name:  Mary Ellen PATRICK
Female, White
Age: 09 months, 06 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date:  17 March 1916
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  James PATRICK
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Celey TERRY
Birthplace Mother:  (blank)
Informant:  Grover PATRICK, Vest, Ky.
Death Date:  11 December 1916
Cause of Death:  Measles
Signed:  (blank)
Burial Place:  Patrick
Date of Burial:  12 December 1916
Undertaker:  Elihew Roberts, Vest, Ky.
File Date:  09 March 1917
Transcribed by Debbie Tamborski, 18 November 2008