DEATH CERTIFICATE

CLARA RICHARDSON

Date  15 September 1911
Deathvol 
Vol:   1911
Cert: # 23802
Name: Clara RICHARDSON
Female, White
Age: Stillbirth
Place of Death: Voting Pct No. #2, Knott Co., KY
Birth Date:  13 September 1911
Place of Birth:  Nealy, Knott Co., KY
Father:  C.W. RICHARDSON
Mother:  Not Listed
Informant:  C.W. RICHARDSON
Death Date:  15 September 1911
Cause of Death:  By being deformed
Signed:   Matilda Franklin, Midwife.
Burial Place:  F.H. ?Thomas?
Undertaker:  Not Listed
File Date:  20 September 1911
Transcribed by Debbie Tamborski, 1 May 2008