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DEATH
CERTIFICATE
BETHEL POLLY
Date 18 June 1912
Cert: # 15857
Name: Bethel POLLY
Male, White, Single
Age: 00 years, 01 months, 01 days
Place of Death: Voting Precinct #7, Perry Co., KY
Birth Date: 17 May 1912
Occupation: None
Place of Birth: Kentucky
Name of Father: Enoch POLLY
Birthplace Father: Kentucky
Maiden Name of Mother: Ida HAMMONS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 18 June 1912
Cause of Death: Measles
Signed: S. P. Combs, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 24 June 1912
Transcribed by Debbie Tamborski, 03 December 2008 |
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