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DEATH
CERTIFICATE
MINNIE TERRY
Date 12 June 1938
Cert: 10399
Name: Minnie TERRY
Place of Death: Voting Pct. Lower Jones Fork #19, Lackey, St.
Mem. Hosp., Knott Co., KY
Residence: Wayland, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 13 years
Occupation: (blank)
Place of Birth: Floyd Co., Ky.
Name of Father: Sam TERRY
Birthplace Father: Missouri
Maiden Name of Mother: Ida Mae OWSLEY
Birthplace Mother: Boyd Co., Ky.
Informant: (illegible)
Death Date: 12 June 1938
Cause of Death: Generalized peritonitis
Contributory: appendicitis
Signed: Philip Bress, M.D., Lackey, Ky.
Burial Place: Martin
Date of Burial: 13 June 1938
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 01 January 1940
Registrar: Masie Miller
Transcribed by Debbie Tamborski, 01 November 2009 |
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