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DEATH
CERTIFICATE
Inf. of JAMES WALTERS
Date 16 October 1939
Cert: 10423
Name: Inf. of James WALTERS
Place of Death: County: Knott: City or Town:
Wiscoal, Ky.
Residence: Knott Co., Ky. City or Town: Anco #20
(Rural)
Male, White
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 5 hours
Place of Birth: Wiscoal
Occupation: (blank)
Name of Father: James WALTERS
Birthplace Father: Ky.
Maiden Name of Mother: Sarah WOOTEN
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 16 October 1939
Cause of Death: Prematurity Due to:
Pelvic inflammatory disease of mother
Signed: Guy C. Pinckley, M.D., Anco, Ky.
Burial Place: (blank)
Date of Burial: 16 October 1939
Undertaker: Family, Wiscoal
File Date: 28 February 1940
Registrar: Macie Miller per B. Carns
Transcribed by Debbie Tamborski, 10 November 2009 |
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