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DEATH
CERTIFICATE
FRENCH PIGMAN
Date 19 March 1917
Cert: 08806
Place of Death: Voting. Precinct: (illegible)
Berea, Madison Co., Ky.
Full Name: French PIGMAN
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 04 November 1898
Age: 18 years, 04 months, 14 days
Occupation: Student
Birthplace: Knott Co., Ky.
Name of Father: Joe PIGMAN
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Francis PIGMAN
Birthplace Mother: Knott Co., Ky.
Informant/Address: Curtis PIGMAN, Ivis, Ky.
Filed: 19 March 1917
Registrar: John (illegible)
Death Date: 19 March 1917
I hereby certify that I attended deceased from 10 February
1917, to
19 March 1917, that I last saw him alive on 18 March 1917, and
that death occurred, on the date stated above, at 1 a.m.
Cause of Death: Mastoiditis
Duration: 20 days
Contributory: General (illegible ?pysemia?)
Duration: 07 days
Signed/Address: R. H. Cowley, M.D., Berea, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Ivis, Ky.
Date of Burial: 21 March 1917
Undertaker/Address: R. H. Chrisman, Berea, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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