DEATH CERTIFICATE

SALLEYAN TERRY

Date  10 March 1921
Cert: #  8391 
Name:  Salleyan TERRY 
Place of Death: Voting Pct. Ball, Vest, Knott Co., KY
Female, White, Married
Birth Date:  06 June 1885 
Age:  35 years, 09 months, 04 days
Occupation:  Housewife
Place of Birth:  Knott Co., Ky.
Name of Father:  Ike JONES
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Ivva COMBS
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  10 March 1921 
Cause of Death:  Puerperal septicemia 
Signed:  M. F. Kelley, M.D.
Burial Place:  Patrick Cemetery 
Date of Burial:  11 March 1921 
Undertaker:  George Terry, Vest, Ky. 
File Date:  April 1921 
Transcribed by Debbie Tamborski, 16 January 2009