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DEATH
CERTIFICATE
LEANDER TERRY
Date 27 June 1921
Cert: 13471
Place of Death: Voting Precinct: Perry
Full Name: Leander TERRY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: January (?) 1921 (transcribed as written)
Age: 06 months
Occupation: (blank)
Birthplace: Knott Co., Ky.
Name of Father: Geo. TERRY
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Sally Ann JONES
Birthplace Mother: Perry Co., Ky.
Informant/Address: Nancy NOBLE, Hardburly, Ky.
Filed: 1921
Registrar: Bryant Grigsby
Death Date: 27 June 1921
I hereby certify that I attended deceased from 17 June 1921, to
27 June 1921, that I last saw him alive on 27 June 1921, and
that death occurred, on the date stated above, at 4 p.m.
Cause of Death: Entero Colitis
Duration: (blank)
Contributory: (blank)
Signed/Address: H. W. Gingles, M.D., 30
June 1921, Hardburly, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 07 March 2010 |
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