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DEATH
CERTIFICATE
DEVAUGHN SHORT
Date 12 November 1934
Cert: 28387
Name: Devaughn SHORT
Place of Death: Voting Pct. Upper Caney,
Pippapass, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 30 January 1932
Age: 02 years, 09 months, 13 days
Occupation: At Home
Place of Birth: Pippapass, Ky.
Name of Father: Curtis SHORT
Birthplace Father: Pippapass, Ky.
Maiden Name of Mother: Alta SLONE
Birthplace Mother: Leburn, Ky.
Informant: (blank)
Death Date: 12 November 1934
Cause of Death: Pneumonia
Contributory: Thrush mouth
Signed: T. J. Chandler, M.D., Lackey, Ky.
Burial Place: H. C. Short Grave
Date of Burial: 13 November 1934
Undertaker: Alex Short
File Date: (blank)
Transcribed by Debbie Tamborski, 24 July 2009
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