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DEATH
CERTIFICATE
DORA PRATT
Date 24 September 1912
Cert: # 23399 Dup. # 9036 (1913)
Name: Dora PRATT
Female, White
Age: 01 years, 01 months, 08 days
Place of Death: Vot. Precinct #5 Macys Creek, Perry Co., KY
Birth Date: 21 February 1911
Occupation: (blank)
Place of Birth: Forte Branch
Name of Father: John M. PRATT
Birthplace Father: Cornettsville, Ky.
Maiden Name of Mother: Jane SPENCER (Martha
PAINE)--transcribed as written
Birthplace Mother: Lee Co., Va.
Informant: (blank)
Death Date: 24 September 1912
Cause of Death: (?Enterits?)
Signed: F. C. Roark, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 12 October 1912
Transcribed by Debbie Tamborski, 03 December 2008 |
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