DEATH CERTIFICATE

I V WATTS

Date  10 May 1921
Cert: #  12935 
Name:  I V WATTS 
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Child
Birth Date:  20 February 1915 
Age:  06 years, 02 months, 20 days
Occupation:  (blank) 
Place of Birth:  Knott Co., Ky.
Name of Father:  Jasper WATTS 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Martha JENT 
Birthplace Mother:  Kentucky 
Informant:  Jasper WATTS, Smithsboro, Ky. 
Death Date:  10 May 1921 
Cause of Death:  Pneumonia fever 
Signed:  J. W. Duke, M.D.
Burial Place:  Jasper Watts 
Date of Burial:  11 May 1921 
Undertaker:  Jasper Watts, Smithsboro, Ky. 
File Date:  11 May 1921 
Transcribed by Debbie Tamborski, 25 February 2009