DEATH CERTIFICATE

LEONARD SALYERS

Date  20 November 1916
Cert: #  28493
Name:  Leonard SALYERS
Male, White, Single
Age: 02 years, 06 months, 10 days
Place of Death: Voting Precinct Hindman , Knott Co., KY
Birth Date: 10 May 1914
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Jonas SALYERS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Roseybell AMBURGEY
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  20 November 1916
Cause of Death:  Laryingetis [sic]
Signed:  M. F. Kelley, M.D.
Burial Place: Amburgey Cemetery
Date of Burial:  21 November 1916
Undertaker:  Jonas Salyers, Leburn, Ky.
File Date:  04 December 1916
Transcribed by Debbie Tamborski, 20 November 2008