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DEATH
CERTIFICATE
JACK GLEN SARRELLS
Date 12 July 1929
Cert: # 19681
Name: Jack Glen SARRELLS
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White, Single
Birth Date: 09 February 1929
Age: 05 months, 03 days
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Jessie SARRELLS
Birthplace Father: Ky.
Maiden Name of Mother: Orpha HAYES
Birthplace Mother: Ky.
Informant: Orpha HAYES, Pine Top, Ky.
Death Date: 12 July 1929
Cause of Death: Paralices [sic]
Signed: (blank)
Burial Place: Hayes Cemetery
Date of Burial: 13 July 1929
Undertaker: Larence Ban(illegible), Pine Top, Ky.
File Date: 06 October 1929
Transcribed by Debbie Tamborski, 30 January 2009 |
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