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DEATH
CERTIFICATE
JACK TERRY
Date 06 October 1931
Cert: # 24905
Name: Jack TERRY
Place of Death: Voting Pct. #4, Knott Co., KY
Male, White, Infant
Husband or Wife of: (blank)
Birth Date: 08 March 1931
Age: 01 years, 06 months, 28 days
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Andy TERRY
Birthplace Father: Ky.
Maiden Name of Mother: Gracie HANDSHOE
Birthplace Mother: Ky.
Informant: John TERRY, Elmrock, Ky.
Death Date: 06 October 1931
Cause of Death: Bloody Dysentery--no physician present
or in attendent
Signed: (blank)
Burial Place: Handshoe Cemetery
Date of Burial: 07 October 1931
Undertaker: W. M. Compton, Elmrock, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 29 June 2009 |
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