DEATH CERTIFICATE

VICTORIA WELLS

Date    21 December 1911
Deathvol Vol:   1912
Cert: # 176
Name: Victoria WELLS
Female, White, Single
Age: 1 year, 6 months, 21 days
Place of Death: Voting Pct. No. 6, Perry Co., KY
Birth Date: 30 May 1910
Place of Birth: Kentucky
Father: Jerry WELLS                                                   Birthplace Father: Kentucky
Mother: Polly MULLINS                                                       Birthplace Mother: Kentucky
Informant: Jerry WELLS
Death Date: 21 December 1911
Cause of Death: Burn
Signed:  S. P. Combs, M.D.
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 22 January 1912
Transcribed by Debbie Tamborski, 25 June 2008