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DEATH
CERTIFICATE
BESSIE SHEPHERD
Date 07 April 1917
Cert: # 11632
Name: Bessie SHEPHERD
Female, White, Single
Age: 02 years, 00 months, 16 days
Place of Death: Voting Precinct #4, Knott Co., KY
Birth Date: 23 March 1915
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Henderson SHEPHERD
Birthplace Father: Knott Co.
Maiden Name of Mother: Sarah SHEPHERD
Birthplace Mother: Kentucky
Informant: Henderson SHEPHERD, Elmrock, Ky.
Death Date: 07 April 1917
Cause of Death: Diphtheria
Signed: M. F. Kelley, M.D.
Burial Place: Patton Fork Cemetery
Date of Burial: 08 April 1917
Undertaker: Henderson Shepherd, Elmrock, Ky.
File Date: 07 April 1917
Transcribed by Debbie Tamborski, 20 November 2008 |
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