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DEATH
CERTIFICATE
KELLY STONE
Date 07 January 1920
Cert: # 01679
Name: Kelly STONE
Place of Death: Voting Pct. #4, Knott Co., KY
Male, White, Single
Birth Date: 04 December 1919
Age: 01 months, 13 days
Occupation: Infant
Place of Birth: Knott Co.
Name of Father: Green STONE
Birthplace Father: Knott Co.
Maiden Name of Mother: Rosana SMITH
Birthplace Mother: Knott Co.
Informant: Milden SMITH, Decoy, Ky.
Death Date: 17 January 1920
Cause of Death: Croup no physician in attendent
Signed: (blank)
Burial Place: Howard Cemetery Graveyard
Date of Burial: 17 January 1920
Undertaker: Ervin Smith, Decoy, Ky.
File Date: 18 January 1920
Transcribed by Debbie Tamborski, 20 February 2009 |
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