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DEATH
CERTIFICATE
(Stillbirth) ROARK
Date 12 October 1927
Cert: # 23456
Name: (Stillbirth) ROARK
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Single
Birth Date: 12 October 1927
Age: (blank)
Occupation: non
Place of Birth: Ky.
Name of Father: William P. ROARK
Birthplace Father: Ky.
Maiden Name of Mother: Rabecca SHORT
Birthplace Mother: Ky.
Informant: Elender COMBS, Elic, Ky.
Death Date: 12 October 1927
Cause of Death: Weekly mother
Signed: Elender Combs, M.D.
Burial Place: Mill Creek
Date of Burial: 12 October 1927
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 30 January 2009 |
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