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DEATH
CERTIFICATE
(Stillbirth) SISEMORE
Date 21 September 1917
Cert: # 25613
Name: (Stillbirth) SISEMORE
Girl, White
Age: Stillbirth
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 21 September 1917
Occupation: (blank)
Place of Birth: Ky.
Name of Father: William SISEMORE
Birthplace Father: Ky.
Maiden Name of Mother: Mary NOBLE
Birthplace Mother: Ky.
Informant: Salley B. SIMSON, Hindman
Death Date: 21 September 1917
Cause of Death: Stillbirth
Signed: (blank)
Burial Place: Millcreek
Date of Burial: (blank)
Undertaker: William Sisemore
File Date: 01 October 1917
Transcribed by Debbie Tamborski, 21 November 2008 |
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