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DEATH
CERTIFICATE
SHIRLEY SHEPARD
Date 20 June 1923
Cert: # 01637
Name: Shirley SHEPARD
Place of Death: Voting Pct. Elmrock, Knott Co., KY
Female, White, Single
Birth Date: 06 January 1914
Age: 10 years, 04 months, 04 days
Occupation: School girl
Place of Birth: Knott Co., Ky.
Name of Father: Abe SHEPHERD
Birthplace Father: Kentucky
Maiden Name of Mother: (blank)
Birthplace Mother: Kentucky
Informant: Dr. M. F. KELLEY, Hindman
Death Date: 20 June 1923
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Messer Cemetery
Date of Burial: 21 June 1923
Undertaker: Abe Shepherd, Elmrock, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 15 February 2009 |
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