DEATH CERTIFICATE

CECIL WELLS

Date   25 June 1912
Cert: #  15855 
Name:  Cecil WELLS 
Male, White, Single
Age:  07 months
Place of Death: Voting Precinct #5 Viper, Perry Co., KY
Birth Date:  (blank) 
Occupation:  (blank) 
Place of Birth:  Kentucky 
Name of Father:  Willie WELLS 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Harit FARLER 
Birthplace Mother:  Kentucky 
Informant:  (blank) 
Death Date:  25 June 1912 
Cause of Death:  Broncho pneumonia 
Signed:   G. W. Campbell, M.D.
Burial Place:  (blank) 
Date of Burial:  (blank) 
Undertaker: (blank) 
File Date:  28 June 1912 
Transcribed by Debbie Tamborski, 03 December 2008