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DEATH
CERTIFICATE
POLLYAN POTTER
Date 02 November 1936
Cert: 33622
Name: Pollyan POTTER
Place of Death: Voting Pct. Middle Carr, Knott Co., KY
Residence: Littcarr, Ky.
Length of residence: (blank)
Female, White, Widow
Husband or Wife of: Lewis POTTER
Birth Date: 02 November 1900
Age: 36 years
Occupation: Housewife
Place of Birth: Ky.
Name of Father: Jeff BENTLY
Birthplace Father: Ky.
Maiden Name of Mother: Mary FLEMINGS
Birthplace Mother: Ky.
Informant: George POTTER, Littcarr, Ky.
Death Date: 02 November 1936
Cause of Death: C B Fever
Signed: (blank)
Burial Place: Stamper Cemetery
Date of Burial: 03 November 1936
Undertaker: (blank)
File Date: 06 January 1937
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 19 September 2009 |
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