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DEATH
CERTIFICATE
BESSIE WITT
Date 22 August 1916
Cert: 21986
Place of Death: Voting Precinct: 4th, Wolfe Co., Ky.
Full Name: Bessie WITT
Sex, Color or Race, Marital Status: Female, White,
(blank)
Date of Birth: 12 October 1914
Age: 01 years, 11 months, 10 days
Occupation: Child
Birthplace: Knott Co., Ky.
Name of Father: J. W. WITT
Birthplace Father: Lee Co., Ky.
Maiden name of Mother: Nannie B. ADAMS
Birthplace Mother: Estill Co., Ky.
Informant/Address: Jeff ADAMS, Rogers, Ky.
Filed: 22 August 1916
Registrar: G. W. Spencer
Death Date: 22 August 1916
I hereby certify that I attended deceased from 20 May 1916, to
22 August 1916, that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Flux
Duration: 03 months, 01 day
Contributory: (blank)
Signed/Address: (blank)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Adams Graveyard
Date of Burial: 23 August 1916
Undertaker/Address: J. W. Witt, Rogers
Transcribed by Debbie Tamborski, 26 February 2010 |
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