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DEATH
CERTIFICATE
HARRISON VANHOOSE
Date 11 October 1939
Cert: 10430
Name: Harrison VANHOOSE
Place of Death: Voting Pct. Upper Jones Fork, Lackey, Stumbo
Hosp., Knott Co., KY
Residence: Lackey, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Minerva VANHOOSE
Birth Date: (blank)
Age: 23 years
Occupation: Miner, Coal Mines
Place of Birth: Johnson County, Ky.
Name of Father: Wm. VANHOOSE
Birthplace Father: Johnson County
Maiden Name of Mother: Margaret VANHOOSE
Birthplace Mother: Johnson County
Informant: Nathan VANHOOSE, (?Slogorsm?), Ky.
Death Date: 11 October 1939
Cause of Death: Peritonitis, hurt in mines
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: (blank)
Date of Burial: 12 October 1939
Undertaker: (blank)
File Date: 20 April 1940
Registrar: Macie Miller
Transcribed by Debbie Tamborski, 21 November 2009 |
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