DEATH CERTIFICATE

Not Named

Date   05 September 1935
Cert:  22704 
Name:  Not Named
Place of Death: Voting Pct. Upper Caney, Pippapass, Knott Co., KY
Residence:  (blank)
Length of residence:  (blank)
Male, White, Single
Husband or Wife of:  (blank)
Birth Date:   (blank)
Age:  (blank)
Occupation:  Still Birth
Place of Birth:  Ky.
Name of Father:  Dingus WATSON
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Dulcena SLONE
Birthplace Mother:  Knott Co., Ky. 
Informant:   (blank) 
Death Date:  05 September 1935 
Cause of Death:   Still Birth 
Signed:  M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Watson Cemetery
Date of Burial:  06 September 1935
Undertaker:  Dingus Watson, Hindman, Ky.
File Date:  16 September 1935
Transcribed by Debbie Tamborski, 14 August 2009