|
DEATH
CERTIFICATE
PERCY POLLIS
Date 05 February 1927
Cert: # Duplicate 4173 Original # 27585
Name: Percy POLLIS
Place of Death: Voting Pct. Upper Caney #18, Martin, Knott
Co., KY
Residence: Pippapass, Ky.
Female, White, Married
Husband or Wife of: Mr. POLLIS
Birth Date: 1909
Age: 17 years
Occupation: Housewife
Place of Birth: Knott Co., Ky.
Name of Father: Bill JACOBS
Birthplace Father: Ky.
Maiden Name of Mother: Siltany THOMAS
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 05 February 1927
Cause of Death: Septicemia from delivery
Contributory: General Peritonitis
Signed: M. F. Kelley, M.D.
Burial Place: Slone Cemetery
Date of Burial: 07 February 1927
Undertaker: Bill Jacobs, Pippapass, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 28 January 2009 |
|