DEATH CERTIFICATE

SARRA PERY

Date   22 May 1916
Cert: #  13476
Name:  Sarra PERY
Female, White
Age: 74 years, 01 months, 06 days
Place of Death: Voting Precinct #10, Knott Co., KY
Birth Date:  16 April 1842
Occupation:  Midwife
Place of Birth:  State of VA
Name of Father:  (blank)
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  Talt HALL, Kite, Ky.
Death Date:  22 May 1916
Cause of Death:  Consumption
Signed:  (blank)
Burial Place:  K. Johnson
Date of Burial:  22 May 1916
Undertaker:  (illegible) Kite, Ky.
File Date:  23 May 1916
Transcribed by Debbie Tamborski, 18 November 2008