|
DEATH
CERTIFICATE
JAMES SHEPARD
Date 29 December 1917
Cert: # 33800
Name: James SHEPARD
Sex (blank) Color (blank)
Age: 02 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date: 27 December 1917
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: A. W. SHEPARD
Birthplace Father: Knott Co.
Maiden Name of Mother: Mary GREEN
Birthplace Mother: Knott Co.
Informant: A. W. SHEPARD, Vest
Death Date: 29 December 1917
Cause of Death: Unknown no physician in attendance
Signed: (blank)
Burial Place: Buckhorn graveyard
Date of Burial: 30 December 1917
Undertaker: J. M. Shepard, Vest
File Date: 30 December 1917
Transcribed by Debbie Tamborski, 20 November 2008 |
|