DEATH CERTIFICATE

CALVIN RICHIE

Date    25 April 1912
Deathvol
Vol:   1912
Cert: # 14034
Name: Calvin RICHIE
Male, White, Single
Age: 1 year, 4 months, 20 days
Place of Death: Voting Pct No. 5, Knott Co., KY
Birth Date: 05 December 1910
Place of Birth: Fisty, Ky.
Father: Alonzo RICHIE                                                     Birthplace Father: Ky.
Mother: Amelia COMBS                                             Birthplace Mother: Ky.
Informant: Alonzo RICHIE
Death Date: 25 April 1912
Cause of Death: Diphtheria
Signed:  S. M. Richie , M.D.
Burial Place: Cockerill Grave
Undertaker: J. R. Richie
File Date: ?? April 1912
Transcribed by Debbie Tamborski, 18 June 2008