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DEATH
CERTIFICATE
ADAM PUESKI
Date 11 June 1936
Cert: 33619
Name: Adam PUESKI
Place of Death: Voting Pct. 20, Knott Co., KY
Residence: Anco
Length of residence: (blank)
Male, Black, Single
Husband or Wife of: (blank)
Birth Date: unknow 1891
Age: 45 years, 02 months, 06 days
Occupation: Coal loader
Place of Birth: Polland
Name of Father: unknow
Birthplace Father: Polland
Maiden Name of Mother: unknown
Birthplace Mother: Polland
Informant: Elie RACKONITCH, Anco, Ky.
Death Date: 11 June 1936
Cause of Death: Crushed chessed, fractured skull
Signed: (blank)
Burial Place: Blackey, Ky.
Date of Burial: 18 June 1936
Undertaker: Willard K. Williams, Hazard, Ky.
File Date: 02 January 1937
Registrar: E. H. Cornett
Transcribed by Debbie Tamborski, 19 September 2009 |
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