DEATH
CERTIFICATE
POLLY HALL PERRY
Date 02 January 1927
Cert: 00714
Place of Death: Vot. Pct. #1, (?Prestonsburg?), Floyd Co., Ky.
Full Name: Polly Hall PERRY
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 30 January 1902
Age: 24 years, 11 months, 02 days
Occupation: Housewife
Birthplace: Knott County
Name of Father: Manville HALL
Birthplace Father: Knott County
Maiden name of Mother: Carcy CONNELEY
Birthplace Mother: (?Knott Crikle?)
Informant/Address: Russel HALL, (?Prestonsburg?), Ky.
Filed: 26 January 1927
Registrar: Belle (?Garclner?)
Death Date: 02 January 1927
I hereby certify that I attended deceased from 17 December
1926, to 01 January 1927, that I last saw her alive on 01
January 1927, and that death occurred, on the date stated
above, at (blank)
Cause of Death: Typhoid fever
Duration: 14 days
Contributory: (blank)
Signed/Address: W. R. Callihan, M.D., 03 January 1927,
Prestonsburg, Ky.
Place of Burial or Removal: (?Prestonsburg?)
Date of Burial: 03 January 1927
Undertaker/Address: E. P. (illegible), (?Prestonsburg?)
Transcribed by Debbie Tamborski, 23 March 2010 |
|