DEATH CERTIFICATE

PERL TERRY

Date  26 August 1928
Cert: #  03131 
Name:  Perl TERRY 
Place of Death: Voting Pct. #12 Lower Caney, Raven, Knott Co., KY
Sex, Color, Race (blank)
Birth Date:  (blank) 
Age:  07 months
Occupation:  Infant 
Place of Birth:  Estill, Floyd Co., Ky.
Name of Father:  Pearl TERRY 
Birthplace Father:  Raven, Ky. 
Maiden Name of Mother:  Delia JACOBS
Birthplace Mother:  Hollybush, Ky. 
Informant:  (blank)
Death Date:  26 August 1928 
Cause of Death:  Infantile Diarrhea 
Signed:  no Dr.
Burial Place:  Gibson Cemetery 
Date of Burial:  28 August 1928 
Undertaker:  none, Raven, Ky. 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 22 February 2009