DEATH CERTIFICATE

SAMPPEY REYNOLDS

Date  01 September 1916
Cert: #  24622
Name:  Samppey REYNOLDS
Male, White, Single
Age: 08 months, 15 days
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date:  25 December 1915
Occupation:  (blank)
Place of Birth:  Knott
Name of Father:  Noah REYNOLDS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Raney McKINEY
Birthplace Mother:  Knott Co.
Informant:  (blank)
Death Date:  01 September 1916
Cause of Death:  summer complaint
Signed:  M. F. Kelley, M.D.
Burial Place:  Slone Cemetery
Date of Burial:  02 September 1916
Undertaker:  Noah Reynolds, Pinetop, Ky.
File Date:  10 November 1916
Transcribed by Debbie Tamborski, 18 November 2008