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DEATH
CERTIFICATE
CARLAS SUMNER
Date 02 November 1919
Cert: # 30401
Name: Carlas SUMNER
Male, White, Single
Age: 05 years
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 1914
Occupation: non
Place of Birth: Ky.
Name of Father: Steve SUMNER
Birthplace Father: Ky.
Maiden Name of Mother: Analine SUMNER
Birthplace Mother: Ky.
Informant: A. C. YOUNG, Elic, Ky.
Death Date: 02 November 1919
Cause of Death: Burned by falling in a tub of hot water
Signed: M. F. Kelley, M.D.
Burial Place: R. B. Young
Date of Burial: 03 October 1919 (transcribed as written)
Undertaker: (blank)
File Date: 03 October 1919 (transcribed as written)
Transcribed by Debbie Tamborski, 23 November 2008 |
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