DEATH CERTIFICATE

ELIOTT ROBERTS

Date    29 October 1912
Deathvol 
Vol:   1912
Cert: #  25505
Name:  Eliott ROBERTS
Male, White, Married
Age:  28 years, 11 months, 22 days
Place of Death: Voting Pct No. 9,  Knott Co., KY
Birth Date:  02 November 1883
Place of Birth:  Not Listed
Father: Wm. ROBERTS                                                    Birthplace Father: Perry Co., Ky
Mother:  Sinda RICHIE                                                Birthplace Mother:  Breathitt
Informant:  Wm. ROBERTS
Death Date:  29 October 1912 
Cause of Death:  Typhoid fever which developed to pneumonia
Signed:  M. F. Kelley, M.D.
Burial Place:  Grigsby Cemetery 
Undertaker:  Sol Dobson
File Date: 31 October 1912
Transcribed by Debbie Tamborski, 18 June 2008