DEATH CERTIFICATE

Not Named
 

Date  13 July 1939
Cert:  18110
Name:  Not Named
Place of Death: Voting Pct. 22, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, Yes, Single
Husband or Wife of:  (blank)
Birth Date:  13 July 1939
Age: (blank)
Occupation:  (blank) 
Place of Birth:  Garner, Ky.
Name of Father:  Robert SHORT 
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Ora SLONE 
Birthplace Mother:  Knott Co. 
Informant:  Robert SHORT, Garner, Ky. 
Death Date:  13 July 1939 
Cause of Death:  Still Born
Signed:  M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Knott Co. 
Date of Burial:  13 July 1939 
Undertaker:  Robert Short, Garner, Ky.
File Date:  04 August 1939 
Registrar:  Rhoda C. Kelley 
Transcribed by Debbie Tamborski, 18 November 2009