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DEATH
CERTIFICATE
MATILDA ROBERTS
Date 12 April 1924
Cert: # 12246
Name: Matilda ROBERTS
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Female, White, Widowed
Birth Date: 10 March 1828
Age: 96 years, 01 months, 02 days
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: John SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Lucy RICHIE
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 12 April 1924
Cause of Death: Lobar pneumonia and senility
Signed: M. F. Kelley, M.D.
Burial Place: Everidge Cemetery
Date of Burial: 13 April 1924
Undertaker: W M Roberts, Tiney, Ky.
File Date: 29 May 1924
Transcribed by Debbie Tamborski, 30 January 2009 |
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