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DEATH
CERTIFICATE
JOHN TERY, SR.
Date 13 December 1930
Cert: # 4782
Name: John TERY, Sr.
Place of Death: Voting Pct. Upper Ball , Knott Co., KY
Male, White, Widow
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 80 years
Occupation: Farmer
Place of Birth: Ky.
Name of Father: (blank)
Birthplace Father: (blank)
Maiden Name of Mother: (blank)
Birthplace Mother: (blank)
Informant: Dr. M. F. KELLY, Hindman
Death Date: 13 December 1930
Cause of Death: Chronic dilatation of the
heart caused by rheumatism
Signed: M. F. Kelly, M.D.
Burial Place: Dobson Cemetery
Date of Burial: 13 December 1930
Undertaker: Dan Gipson, Vest, Ky.
File Date: 24 December 1930
Transcribed by Debbie Tamborski, 24 June 2009 |
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