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DEATH
CERTIFICATE
THOMAS TERRY, JR.
Date 11 November 1916
Cert: # 30981
Name: Thomas TERRY, Jr.
Male, White, Single
Age: 06 years, 06 months
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 11 May 1914
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Taulbiy TERRY
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Jane NAPIER
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 11 November 1916
Cause of Death: Pneumonia fever
Signed: M. F. Kelley, M.D.
Burial Place: Terry Cemetery
Date of Burial: 12 November 1916
Undertaker: Taulbey TERRY, Vest, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 23 November 2008 |
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