DEATH CERTIFICATE

PATSY SHAVENS

Date    14 October 1918
Cert: #  29222
Name:  Patsy SHAVENS
Female, White, Married
Age:  43 years
Place of Death: Voting Pct. No. 8, Knott Co., KY
Birth Date:  1865           
Place of Birth:  Ky.
Father:  Noah BOLEYN                                               Birthplace Father:  Ky.
Mother:  Peggy CLEMENS                                                   Birthplace Mother:  Ky.
Informant:  W. W. BOLEYN, Garrett, Ky.
Death Date:  14 October 1918
Cause of Death:  Influenza
Signed:  Not Listed
Burial Place:  Boleyn Cemetery
Undertaker:  Reece Boleyn Garrett, Ky.
File Date: 15 October 1915
Transcribed by Debbie Tamborski, 11 September 2008