DEATH CERTIFICATE

PERLIE PERRY

Date   09 October 1917
Cert: #  28260
Name:  Perlie PERRY
Female
Age: 00 years, 00 months, 05 days
Place of Death: Voting Precinct #10, Knott Co., KY
Birth Date: 05 October 1917
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  Robert PERRY
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Jane SLONE
Birthplace Mother:  Knott Co.
Informant:  John GRIMES, Kite, Ky.
Death Date:  09 October 1917
Cause of Death:  Bole Hives
Signed: (blank)
Burial Place:  Henry Perry
Date of Burial:  09 October 1917
Undertaker:  John Grimes, Kite, Ky.
File Date:  10 October 1917
Transcribed by Debbie Tamborski, 18 November 2008