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DEATH
CERTIFICATE
CLELLA POLLY
Date 03 November 1921
Cert: # 1758
Name: Clella POLLY
Place of Death: Voting Pct., Knott Co., KY
Female, White
Birth Date: 03 November 1921
Age: 01 days
Occupation: (blank)
Place of Birth: Knott
Name of Father: Rell POLLY
Birthplace Father: Knott
Maiden Name of Mother: Susie THOMAS
Birthplace Mother: Knott
Informant: (blank)
Death Date: 03 November 1921
Cause of Death: unknown, not developed
Signed: Jane Childers, M.D.
Burial Place: Perkins Cem.
Date of Burial: 04 October 1921 (transcribed as written)
Undertaker: 12 December 1921
File Date:
Transcribed by Debbie Tamborski, 28 January 2009 |
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