DEATH CERTIFICATE

VIRGIE SHORT

Date  21 November 1924
Cert: #  28103 
Name:  Virgie SHORT 
Place of Death: Voting Pct. #1 Leburn, Knott Co., KY
Female, White, Single
Birth Date:  08 May 1920
Age:  06 years, 06 months, 13 days
Occupation:  School girl
Place of Birth:  Knott Co., Ky.
Name of Father:  Spencer SHORT
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Haleyan SLONE
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  21 November 1924 
Cause of Death:  Diphtheria 
Signed:  M. F. Kelley, M.D.
Burial Place:  Slone Cemetery 
Date of Burial:  22 November 1924 
Undertaker:  Spencer Short, Leburn, Ky. 
File Date:  11 December 1924 
Transcribed by Debbie Tamborski, 15 February 2009