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DEATH
CERTIFICATE
MINNIE TERRY
Date 12 June 1938
Cert: 17779
Name: Minnie TERRY
Place of Death: Voting Pct. Lower Jones Fork
#19, Knott Co., KY
Residence: Wayland, Ky.
Length of residence: (blank)
Female, White, Child
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 13 years
Occupation: School child
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: Sam TERRY, Wayland, Ky.
Death Date: 12 June 1938
Cause of Death: Generalized peritonitis
Contributory: appendicitis
Signed: Philip Bress, M.D., Lackey, Ky.
Burial Place: Wayland, Ky.
Date of Burial: 13 June 1938
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 11 August 1938
Registrar: G. C. Collins, D.D.S, per B. Carns
Transcribed by Debbie Tamborski, 01 November 2009 |
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