DEATH CERTIFICATE

SAM BYRD
 

Date    24 October 1911
Death Vol:   1911
Cert: #  26908
Name:  Sam BYRD
Male, Negro, Single
Age:  unknown
Place of Death: Voting Pct. No. 5, Perry Co., KY
Birth Date:  unknown
Place of Birth:  unknown
Father:  unknown                                                           Birthplace Father: unknown
Mother:  unknown                                                         Birthplace Mother: unknown
Informant:  Not Listed
Death Date:  24 October 1911
Cause of Death:  From a pistol shot accident
Signed:  Taylor Hurst, M.D.
Burial Place:  N. B. Brashears Res.
Undertaker:  Not Listed
File Date: 24 October 1911
Transcribed by Debbie Tamborski, 19 June 2008