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DEATH
CERTIFICATE
AMELIA TERRY
Date 26 January 1917
Cert: # 22971
Name: Amelia TERRY
White
Age: 25 years, 06 months, 20 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 06 July 1892
Occupation: Housewife
Place of Birth: (blank)
Name of Father: Joe GAYHEART
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Martha SMITH
Birthplace Mother: Knott Co., Ky.
Informant: Nana GAYHEART, Vest, Ky.
Death Date: 26 January 1917
Cause of Death: Puerperal (illegible) Contributory:
Child birth
Signed: J. W. Duke, M.D.
Burial Place: Yel Mt.
Date of Burial: (blank)
Undertaker: (blank)
File Date: 24 July 1917
Transcribed by Debbie Tamborski, 23 November 2008 |
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