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DEATH
CERTIFICATE
MART SHORT
Date 12 July 1937
Cert: 19105
Name: Mart SHOT
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Sophia ADDAMS
Birth Date: (blank)
Age: 40 years, 00 months, 05 days
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: John W. SHORT
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Caroline MARTIN
Birthplace Mother: Knott Co., Ky.
Informant: Sophia SHORT, Hindman, Ky.
Death Date: 12 July 1937
Cause of Death: Tuberculosis of the lung
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Knott Co.
Date of Burial: 13 July 1937
Undertaker: Sophia Short, Hindman, Ky.
File Date: 21 July 1937
Registrar: Rhoda C. Kelley
Transcribed by Debbie Tamborski, 04 October 2009 |
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