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DEATH
CERTIFICATE
OVA SWORD
Date 02 June 1939
Cert: 15640
Name: Ova SWORD
Place of Death: Vot. Pct. Lower Jones Fork #19,
Lackey, Knott Co., KY
Residence: Weeksberry, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 17 October 1929
Age: 09 years, 07 months, 16 days
Occupation: (blank)
Place of Birth: Weeksberry
Name of Father: Spencer SWORD
Birthplace Father: Pike Co., Ky.
Maiden Name of Mother: Jessie Mae SKILES
Birthplace Mother: Tenn.
Informant: Spencer SWORD, Weeksberry, Ky.
Death Date: 02 June 1939
Cause of Death: Epileptic convulsion
Signed: M. T. Dotson, M.D., Lackey, Ky.
Burial Place: Weeksberry
Date of Burial: 04 June 1939
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 20 June 1939
Registrar: Rushionna Blair
Transcribed by Debbie Tamborski, 20 November 2009 |
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