DEATH CERTIFICATE

WILLIAM RUSSEL

Date  30 March 1912
Cert: #  28219 
Name:  William RUSSEL 
Male, White, Married
Age:  27 years
Place of Death: Voting Precinct Lost Creek, Perry Co., KY
Birth Date:  03 November 
Occupation:  Farmer 
Place of Birth:  Perry 
Name of Father:  Ab RUSSELL 
Birthplace Father:  Breathitt Co. 
Maiden Name of Mother:  Nancyann COMBS 
Birthplace Mother:  Perry Co. 
Informant:   Nancy RUSSELL, Ned, Ky. 
Death Date:  30 March 1912
Cause of Death:  Gun shot wounds on right side 15 shots 6 inches to right sternal portion of right nipple  
Signed:  M. E. Combs, M.D.
Burial Place:  Nick Combs 
Date of Burial:  01 April 1912 
Undertaker: (illegible)
File Date:  06 December 1913 
Transcribed by Debbie Tamborski, 03 December 2008