|
DEATH
CERTIFICATE
ELSA MAE SHEPARD
Date 04 October 1936
Cert: 30514
Name: Elsa Mae SHEPARD
Place of Death: Voting Pct. , Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: 04 October 1936
Age: (blank)
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Jason SHEPARD
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Clestus RITCHIE
Birthplace Mother: Knott Co., Ky.
Informant: Susan EVERAGE, Hindman, Ky.
Death Date: 04 October 1936
Cause of Death: Stillborn
Signed: (blank)
Burial Place: Knott Co.
Date of Burial: October 1936
Undertaker: Jason Shepard, Hindman, Ky.
File Date: 15 November 1936
Registrar: Rhoda C. Kelley
Transcribed by Debbie Tamborski, 20 September 2009 |
|