DEATH CERTIFICATE

THOMAS TERRY

Date  23 September 1919
Cert: #  25899
Name:  Thomas TERRY
Male, White, Married
Age: 78 years
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date:  1841
Occupation:  Farming
Place of Birth:  Perry Co., Ky.
Name of Father:  Silas TERRY
Birthplace Father:  (blank)
Maiden Name of Mother:  (blank)
Birthplace Mother:  (blank)
Informant:  (blank)
Death Date:  23 September 1919
Cause of Death:  Endocarditis of the heart
Signed:  M. F. Kelley, M.D.
Burial Place:  Patrick Cemetery
Date of Burial:  24 September 1919
Undertaker:  Tolbey TERRY, Vest, Ky.
File Date:  (blank)
Transcribed by Debbie Tamborski, 23 November 2008