|
DEATH
CERTIFICATE
MALLIE SHEPHERD
Date 05 April 1940
Cert: 10431
Name: Mallie SHEPHERD
Place of Death: Knott Co., Lackey
Residence: Handshoe, Knott Co., Ky.
Female, White, Married
Husband or Wife of: Russel SHEPHERD
Age of husband or wife if alive: 49
Birth date of deceased: 17 May 1905
Age: 34 years
Occupation: Housewife
Place of Birth: Floyd Co.
Name of Father: A. J. SHEPHERD
Birthplace Father: Floyd Co.
Maiden Name of Mother: Margaret HOWARD
Birthplace Mother: Magoffin
Informant: Luvisa COBURN, Handshoe, Ky.
Death Date: 05 April 1940
Cause of Death: Abscess of rt. lung
Signed: W. L. Stumbo, M.D., Lackey, Ky. 20 April
1940
Burial Place: Floyd Co.
Date of Burial: 06 April 1940
Undertaker: (blank)
File Date: 20 April 1940
Registrar: Macie Miller
Transcribed by Debbie Tamborski, 20 November 2009 |
|