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DEATH
CERTIFICATE
(Stillbirth) PERCE
Date 01 October 1928
Cert: # 25637
Name: (Stillbirth) HERCE
Residence: Jeff, Ky.
Place of Death: Voting Pct. #16, Knott Co., KY
Girl, White, Single
Birth Date: 01 October 1928
Age: (blank)
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Elic PERCE
Birthplace Father: Ky.
Maiden Name of Mother: Azela RITCHIE
Birthplace Mother: Ky.
Informant: Mark RITCHIE, Elic
Death Date: 01 October 1928
Cause of Death: Exposure of mother
Signed: Susan Smith, M.D.
Burial Place: Gayhart Cem.
Date of Burial: 03 October 1928
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 06 January 2009 |
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