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DEATH
CERTIFICATE
EVELINE TATE
Date 10 November 1921
Cert: # 24547
Name: Eveline TATE
Place of Death: Voting Pct. #1 Leburn, Knott Co., KY
Female, White, Married
Birth Date: 06 May 1846
Age: 75 years, 06 months, 04 days
Occupation: Housewife
Place of Birth: Va.
Name of Father: John PAGE
Birthplace Father: Va.
Maiden Name of Mother: Lucy McCLAIN
Birthplace Mother: Va.
Informant: (blank)
Death Date: 10 November 1921
Cause of Death: Chronic valvular heart disease
Signed: M. F. Kelley, M.D.
Burial Place: Dyer Cemetery
Date of Burial: 11 November 1921
Undertaker: Robert Tate, Leburn, Ky.
File Date: 05 December 1921
Transcribed by Debbie Tamborski, 22 February 2009 |
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