DEATH CERTIFICATE

MRS. POLLY ANN REYNOLDS

Date 19 January 1933
Cert: # 29676
Name: Mrs. Polly Ann REYNOLDS
Place of Death: Voting Pct. Hindman #1, Knott Co., KY
Residence: (blank)
Female, White, Married
Husband or Wife of: R. B. REYNOLDS
Birth Date: 14 April 1895
Age: 37 years, 09 months, 05 days
Occupation: Hswf
Place of Birth: Pine Top, Ky.
Name of Father: HONEYCUTT
Birthplace Father: Pine Top, Ky.
Maiden Name of Mother: (blank)
Birthplace Mother: (blank)
Informant: Mrs. Minnie MOORE, Mallie, Ky.
Death Date: 19 January 1933
Cause of Death: Gunshot, Homicide
Nature of Injury: Hit in left side of breast
Signed: No doctor
Burial Place:  Mallie, Ky.
Date of Burial:  20 January 1933
Undertaker:  Family, Mallie, Ky.
File Date:  22 January 1933
Transcribed by Debbie Tamborski, 15 July 2009