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 |
|