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DEATH
CERTIFICATE
RAY PATRICK
Date 03 September 1934
Cert: 22954
Name: Ray PATRICK
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: Single
Birth Date: 01 February 1926
Age: 08 years, 07 months, 02 days
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father: Lawrence PATRICK
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Mina LOVINGS
Birthplace Mother: Knott Co., Ky.
Informant: Andrew PATRICK, Kentucky
Death Date: 03 September 1934
Cause of Death: Dilitation of the heart brought on by
influenza
Signed: M. F. Kelly, M.D., Hindman, Ky.
Burial Place: Napier Cemetery
Date of Burial: 04 September 1934
Undertaker: Lawrence Patrick, Tina, Ky.
File Date: 11 October 1934
Transcribed by Debbie Tamborski, 23 July 2009
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