DEATH CERTIFICATE

DELTA WALLEN

Date  01 February 1920
Cert: #  5219 
Name:  Delta WALLEN 
Place of Death: Voting Pct. #9, Knott Co., KY
Female, White
Birth Date:  25 December 1919 
Age:  01 months, 06 days
Occupation:  (blank)
Place of Birth:  (blank)
Name of Father:  Robt WALLEN
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Minda TERRY 
Birthplace Mother:  Knott Co.
Informant:  Bill SMITH, Yal Mt., Ky. 
Death Date:  01 February 1920 
Cause of Death:  no physician 
Signed:  (blank)
Burial Place:  Terr Graveyard 
Date of Burial:  02 February 1920 
Undertaker:  Bill Smith, Yal Mt. 
File Date:  01 February 1920 
Transcribed by Debbie Tamborski, 23 February 2009