DEATH CERTIFICATE

(Stillbirth) PERKINS

Date  01 December 1919
Cert: #  33070
Name:  (Stillbirth) PERKINS
White, Single
Age: Stillbirth
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date:  01 December 1919
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Charley PERKINS
Birthplace Father:  Ky.
Maiden Name of Mother:  Jane EVRIDGE
Birthplace Mother:  (blank) 
Informant:  (blank)
Death Date:  01 December 1919
Cause of Death:  stillbirth
Signed:  (blank)
Burial Place:  Martin Graveyard
Date of Burial:  (blank)
Undertaker:  (blank)
File Date:  02 December 1919
Transcribed by Debbie Tamborski, 18 November 2008