DEATH CERTIFICATE

Still Birth

Date   04 August 1935
Cert:  20241 
Name:  Still Birth
Place of Death: Voting Pct. Upper Carr #2, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank) 
Female, White, Infant
Husband or Wife of:  (blank)  
Birth Date:  04 August 1935
Age: (blank) 
Occupation:  (blank) 
Place of Birth:  May, Ky.
Name of Father:  Ruby WATTS
Birthplace Father:  May, Ky. 
Maiden Name of Mother:  Effie HAYS
Birthplace Mother:  Pinetop, Ky. 
Informant:  (blank)   
Death Date:  04 August 1935 
Cause of Death:   Fall of mother 
Signed:  (blank) 
Burial Place:  N. HAYS
Date of Burial:  05 August 1935
Undertaker:  (blank)  
File Date:  07 August 1935
Transcribed by Debbie Tamborski, 18 August 2009