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DEATH
CERTIFICATE
CLARA WILLIAMS
Date 06 October 1934
Cert: 25715
Name: Clara WILLIAMS
Place of Death: Voting Pct. Cody, Knott Co., KY
Residence: Cody, Ky.
Length of residence: Life
Female, Colored, Single
Husband or Wife of: (blank)
Birth Date: Do not know
Age: 21 years
Occupation: House Keeper
Place of Birth: Knott Co., Ky.
Name of Father: W. C. WILLIAMS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Maggie WILLIAMS
Birthplace Mother: Letcher Co., Ky.
Informant: Joe WILLIAMS, Hazard, Ky.
Death Date: 06 October 1934
Cause of Death: Pulmonary Tuberculosis Contributory:
Influenza
Signed: D. D. Carr, M.D., Hazard, Ky.
Burial Place: Cody, Ky.
Date of Burial: 07 October 1934
Undertaker: H. Engle, Hazard, Ky.
File Date: 15 November 1934
Transcribed by Debbie Tamborski, 24 July 2009
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