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DEATH
CERTIFICATE
IRVING SHORT
Date 04 December 1919
Cert: # 33068
Name: Irving SHORT
Male, White, Single
Age: 11 years, 06 months, 03 days
Place of Death: Voting Precinct Vest, Knott Co., KY
Birth Date: 1? June 1908
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: William SHORT
Birthplace Father: Kentucky
Maiden Name of Mother: Cynthia COLLINS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 04 December 1919
Cause of Death: Gunshot wound
Signed: M. F. Kelley, M.D.
Burial Place: Patrick Cemetery
Date of Burial: 05 December 1919
Undertaker: William Short, Vest, Ky.
File Date: 25 December 1919
Transcribed by Debbie Tamborski, 20 November 2008 |
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