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DEATH
CERTIFICATE
MALINDIA THORNSBURG
Date 09 June 1912
Cert: 15941
Place of Death: Voting Precinct: #2 Farmers, Rowan Co.,
KY
Full Name: Malindia THORNSBURG
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 03 April 1876
Age: 36 years, 02 months, 05 days
Occupation: Housewife
Birthplace: Knott Co.
Name of Father: Joh GAYHEART
Birthplace Father: Ky.
Maiden name of Mother: Merandia COMES
Birthplace Mother: Ky.
Informant/Address: Edie THORNSBURG, Freestone, Ky.
Filed: 09 June 1912
Registrar: H. D. Myers
Death Date: 09 June 1912
I hereby certify that I attended deceased from September 1911, to
01 May 1912, that I last saw her alive on 01 May 1912, and
that death occurred, on the date stated above, at 4 a.m.
Cause of Death: Chronic Pericarditis
Duration: 02 years
Contributory: (blank)
Signed/Address: D. Thos. A. E. Evans,
M.D., 09 June 1912, Farmers
Place of Burial or Removal: Silram Cemetery
Date of Burial: 09 June 1912
Undertaker/Address: A. L. Green, Farmers, Ky.
Transcribed by Debbie Tamborski, 24 February 2010 |
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