DEATH CERTIFICATE

VELVA BROCK
 

Date    Not Listed
Death Vol:   1911
Cert: #  10819
Name:  Velva BROCK
Female, White, Single
Age:  1 years, 6 months
Place of Death: Voting Pct. No. 7, Perry Co., KY
Birth Date:  19 June 1909
Place of Birth:  Ky.
Father:  Wiley BROCK                                                 Birthplace Father: Ky.
Mother:  Susan WILLIAM                                               Birthplace Mother:  Ky.
Informant:  Martha BROCK
Death Date:  Not Listed
Cause of Death:  Not Listed
Signed:  Not Listed
Burial Place:  Not Listed
Undertaker:  Not Listed
File Date: 08 May 1911
Transcribed by Debbie Tamborski, 19 June 2008