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DEATH
CERTIFICATE
JOHN SHEPHERD
Date 19 March 1937
Cert: 20239
Name: John SHEPHERD
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Hueysville, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 82 years
Occupation: (blank)
Place of Birth: Salt Lick Creek, Floyd Co., Ky.
Name of Father: Dave SHEPHERD
Birthplace Father: Ky.
Maiden Name of Mother: Nancy SLONE
Birthplace Mother: Ky.
Informant: A SHEPHERD, Water Gap, Ky.
Death Date: 19 March 1937
Cause of Death: Lobar pneumonia
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Dwale, Ky.
Date of Burial: 20 March 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 31 August 1938
Registrar: G. C. Collins, D.D.S., Lackey, Ky.
Transcribed by Debbie Tamborski, 04 October 2009 |
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