DEATH
CERTIFICATE
SHELBY WATTS
Date 19 July 1919
Cert: # 21495
Name: Shelby WATTS
Male, White, Single
Age: 06 years, 00 months, 18 days
Place of Death: Voting Precinct Pinetop, Knott Co., KY
Birth Date: 01 July 1913
Occupation: School boy
Place of Birth: Knott Co.
Name of Father: Floyd WATTS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Retty DRAUGHN
Birthplace Mother: Knott Co., Ky.
Informant: Floyd WATTS
Death Date: 19 July 1919
Cause of Death: Flux or bloody dysentery
Signed: M. F. Kelley, M.D.
Burial Place: Mullins Cemetery
Date of Burial: 20 July 1919
Undertaker: Floyd Watts, Pinetop, Ky.
File Date: ?? 1919
Transcribed by Debbie Tamborski, 23 November 2008 |
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