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DEATH
CERTIFICATE
DORTHA MAY POTTER
Date 26 August 1936
Cert: 33628
Name: Dortha May POTTER
Place of Death: Voting Pct. Middle Carr #3, Knott Co., KY
Residence: Littcarr, Ky.
Length of residence: (blank)
Female, White
Husband or Wife of: Infant
Birth Date: 26 July 1936
Age: 01 months
Occupation: (blank)
Place of Birth: Littcarr, Ky.
Name of Father: Chester JONES
Birthplace Father: Mallie
Maiden Name of Mother: Pollyan BENLEY
Birthplace Mother: Ky.
Informant: Susie COMBS, Littcarr, Ky.
Death Date: 26 August 1936
Cause of Death: Direah
Signed: (blank)
Burial Place: Stamper Cemetery
Date of Burial: 27 August 1936
Undertaker: (blank)
File Date: 06 January 1937
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 19 September 2009 |
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