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DEATH
CERTIFICATE
DAN THACKER
Date 02 January 1937
Cert: 5187
Name: Dan THACKER
Place of Death: Voting Pct. Lackey, Stumbo M.
Hosp., Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 36 years, 07 months
Occupation: Farmer
Place of Birth: Mousie, Ky.
Name of Father: Robert THACKER
Birthplace Father: Kentucky
Maiden Name of Mother: Sabie SMITH
Birthplace Mother: Kentucky
Informant: John C. THACKER, Garrett, Ky.
Death Date: 02 January 1937
Cause of Death: Hit by car
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Mousie, Ky.
Date of Burial: 03 January 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 26 February 1937
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 04 October 2009 |
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