DEATH CERTIFICATE

JAKE SUTTON JR.

Date  28 July 1921
Cert: #  17875 
Name:  Jake SUTTON Jr. 
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Single
Birth Date:  28 July 1921
Age: 01 days
Occupation:  None
Place of Birth:  Knott Co., Ky.
Name of Father:  Jake SUTTON
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Marry SLONE
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  28 July 1921 
Cause of Death:  Lobar pneumonia 
Signed:  M. F. Kelley, M.D.
Burial Place:  Vest, Ky. 
Date of Burial:  29 July 1921 
Undertaker:  Jake Sutton, Sr., Hindman, Ky. 
File Date:  15 August 1921 
Transcribed by Debbie Tamborski, 22 February 2009