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DEATH
CERTIFICATE
DORA RICHIE
Date 26 June 1921
Cert: 13472
Place of Death: Voting Precinct: Perry
Full Name: Dora RICHIE
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 11 September 1912
Age: 08 years, 09 months, 15 days
Occupation: none
Birthplace: Knott Co., Ky.
Name of Father: Fred RICHIE
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Rachel RICHIE
Birthplace Mother: Knott Co., Ky.
Informant/Address: Fred RICHIE, Hardburly, Ky.
Filed: 1921
Registrar: Bryant Grigsby
Death Date: 26 June 1921
I hereby certify that I attended deceased from 14 June 1921, to
25 June 1921, that I last saw her alive on 25 June 1921, and
that death occurred, on the date stated above, at 6 a.m.
Cause of Death: Submaxillary Cellulitis (Ludwig's
Angina)
Duration: (blank)
Contributory: (blank)
Signed/Address: H. W. Gingles, M.D., 30
June 1921, Hardburly, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 07 March 2010 |
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