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DEATH
CERTIFICATE
SAM WHITT
Date 18 April 1917
Cert: # 20218
Name: Sam WHITT
Male, White, Married
Age: 65
Place of Death: Vot. Prec. Jones Fork, Lackey, Knott Co., KY
Birth Date: 1851
Occupation: Farmer
Place of Birth: Ky.
Name of Father: Abner SHACKELFORD
Birthplace Father: Do not know
Maiden Name of Mother: Annie DOTSON
Birthplace Mother: Do not know
Informant: Adam SMITH, Lackey, Ky.
Death Date: 18 April 1917
Cause of Death: Due to dropsy & heart trouble, failure
Signed: N. N. Collins, M.D.
Burial Place: Smith Cemetery
Date of Burial: 19 April 1917
Undertaker: Adam Smith, Lackey, Ky.
File Date: 05 August 1917
Transcribed by Debbie Tamborski, 23 November 2008 |
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