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DEATH
CERTIFICATE
MITCHELL SHEPHERD
Date 29 September 1938
Cert: 21634
Name: Mitchell SHEPHERD
Place of Death: Voting Pct. Asylum, Lexington, Fayette Co., KY
Residence: Knott Co., Kentucky
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 1914
Age: 24 years
Occupation: School Boy
Place of Birth: unknown
Name of Father: unknown
Birthplace Father: unknown
Maiden Name of Mother: unknown
Birthplace Mother: unknown
Informant: Eastern State Hospital, Lexington, Ky.
Death Date: 29 September 1938
Cause of Death: Tuberculosis
Signed: John L. Clagg, M.D., Eastern
State Hosp., Lexington, Ky.
Burial Place: Breathitt County
Date of Burial: 03 October 1938
Undertaker: D. M. Lowe, Lexington, Ky.
File Date: 04 October 1938
Registrar: D. A. Furlong
Transcribed by Debbie Tamborski, 30 January 2010 |
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