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DEATH
CERTIFICATE
ZOLIA REYNOLDS
Date 29 October 1931
Cert: # 30074
Name: Zolia REYNOLDS
Place of Death: Voting Pct. #12 Lower Caney,
Pippapass, Knott Co., KY
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 27 December 1913
Age: 17 years, 10 months, 02 days
Occupation: At school, 1st yr. H. School
Place of Birth: Raven, Kentucky
Name of Father: Maryland REYNOLDS
Birthplace Father: Mallie, Ky.
Maiden Name of Mother: Dollie AMBURGEY
Birthplace Mother: Mallie, Ky.
Informant: Nancy OWENS, Raven, Ky.
Death Date: 29 October 1931
Cause of Death: Chronic flux dysentery
Signed: Dr. N. N. Collins, M.D.
Burial Place: Gibson, Cemetery
Date of Burial: 31 October 1931
Undertaker: Dollie Amburgey, Raven, Ky.
File Date: 24 December 1931
Transcribed by Debbie Tamborski, 29 June 2009 |
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