DEATH CERTIFICATE

EMA BRASHEAR

Date  10 February 1912
Cert: #  5365 
Name:  Ema BRASHEAR
Female, White, Single
Age:  03 months, 01 days
Place of Death: Voting Precinct Viper, Perry Co., KY
Birth Date:  09 November 1911
Occupation:  (blank) 
Place of Birth:  Kentucky 
Name of Father:  R. Lee BRASHEAR 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Docia COMBS 
Birthplace Mother:  Kentucky 
Informant:   G. W. CAMPBELL 
Death Date:  10 February 1912 
Cause of Death:  Whooping Cough 
Signed:  G. W. Campbell, M.D.
Burial Place:  R. Lee Brashear 
Date of Burial:  11 February 1912 
Undertaker:  R. L. Brashear, Viper, Ky. 
File Date:  12 February 1912 
Transcribed by Debbie Tamborski, 01 December 2008