DEATH CERTIFICATE

SALLIE PERY

Date  13 February 1919
Cert: #  6992
Name:  Sallie PERY
Female, White, Single
Age: 04 years, 00 months, 00 days
Place of Death: Voting Precinct #10, Knott Co., KY
Birth Date: 13 February 1915
Occupation:  Farmer
Place of Birth:  Knott Co.
Name of Father:  Dock PERY
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Vada HALL
Birthplace Mother:  Knott Co.
Informant:  Martin HALL, Kite, Ky.
Death Date:  13 February 1919
Cause of Death:  Burnt by fire
Signed: (blank)
Burial Place:  Joe Bates
Date of Burial:  14 February 1919
Undertaker:  Martin Hall, Kite, Ky.
File Date:  10 March 1919
Transcribed by Debbie Tamborski, 18 November 2008