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DEATH
CERTIFICATE
POLLY (Stillborn)
Date 16 September 1932
Cert: # 29871
Name: POLLY (Stillborn)
Place of Death: Voting Pct. Hindman #1, Knott Co., KY
Residence: Hindman, Ky.
Male, White
Husband or Wife of: (blank)
Birth Date: 16 September 1932
Age: years, months, days
Occupation: (blank)
Place of Birth: Hindman
Name of Father: Clark POLLY
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Nannie AMBURGY
Birthplace Mother: Knott Co., Ky.
Informant: Mrs. Clark POLLY, Hindman, Ky.
Death Date: 16 September 1932
Cause of Death: Prolonged labor
Signed: M. F. Kelly, M.D.
Burial Place: Cane Branch
Date of Burial: 17 September 1932
Undertaker: Family, Hindman
File Date: 16 December 1932
Transcribed by Debbie Tamborski, 05 July 2009 |
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