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DEATH
CERTIFICATE
ROXIE REYNOLDS
Date 10 November 1925
Cert: # 29878
Name: Roxie REYNOLDS
Place of Death: Voting Pct. Hindman, Knott Co., KY
Female, White, Single
Birth Date: 30 August 1925
Age: 04 months, 20 days
Occupation: none
Place of Birth: Knott Co., Ky.
Name of Father: John W. REYNOLDS
Birthplace Father: Ky.
Maiden Name of Mother: Mattie GAYHEART
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 10 November 1925
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Slone Cemetery
Date of Burial: 10 November 1925
Undertaker: John W. Reynolds, Hindman, Ky.
File Date: 06 January 1926
Transcribed by Debbie Tamborski, 28 January 2009 |
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