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DEATH
CERTIFICATE
OMA WELLS
Date 12 February 1927
Cert: 04601
Place of Death: Voting Pct. #6, Perry Co., Ky.
Full Name: Oma WELLS
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 07 September 1915
Age: 11 years, 05 months, 05 days
Occupation: (blank)
Birthplace: Knott County, Ky.
Name of Father: Charlie WELLS
Birthplace Father: Perry Co., Ky.
Maiden name of Mother: Dellie May PARKS
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. Charlie WELLS, Happy, Ky.
Filed: 12 February 1927
Registrar: C. D. Combs
Death Date: 12 February 1927
I hereby certify that I attended deceased from 11 February
1927, to 12 February 1927, that I last saw her alive on 12
February 1927, and that death occurred, on the date stated
above at (blank)
Cause of Death: Third degree burns
Duration: 01 days
Contributory: (blank)
Signed/Address: Arthur Vandevert, M.D., 14 February
1927, Scuddy, Ky.
Place of Burial or Removal: Combs Cemetery
Date of Burial: 18 February 1927
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 24 March 2010 |
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