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DEATH
CERTIFICATE
EFFIE STONE
Date 23 December 1913
Cert: 31920
Place of Death: Voting Precinct: Allen, Wayland, Floyd Co., KY
Full Name: Effie STONE
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: Don't know
Age: 01 years, 06 months
Occupation: Infant
Birthplace: Knott Co., Ky.
Name of Father: Alex STONE
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Ellen SMITH
Birthplace Mother: Knott Co., Ky.
Informant/Address: (blank)
Filed: (blank)
Registrar: G. S. Howard
Death Date: 23 December 1913
I hereby certify that I attended deceased from 18 December
1913, to 22 December 1913, that I last saw her alive on 22
December 1913, and that death occurred, on the date stated
above, at 12
Cause of Death: Broncho pneumonia
Duration: (blank)
Contributory: (blank)
Signed/Address: E. H. Maggard, M.D., 12 January 1914, Allen,
Ky.
Length of residence at place of death: Don't know
Length of residence in state: Don't know
Where was disease contracted: At place of death
Former or usual residence: Knott Co., Ky.
Place of Burial or Removal: Stone Coal
Date of Burial: 24 December 1913
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 24 February 2010 |
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