DEATH CERTIFICATE

JANE EVERSOLE

Date    07 May 1911
Deathvol Vol:   1911
Cert: # 13511
Name: Jane EVERSOLE
Female, White, Single
Age: 17 years
Place of Death: Voting Pct. No. 2, Campbell, Perry Co., KY
Birth Date: Not Listed
Place of Birth: Not Listed
Father: John EVERSOLE                                                      Birthplace Father: Perry
Mother: Sallyan COMBS                                                       Birthplace Mother: Perry
Informant: Polly STIDHAM
Death Date: 07 May 1911
Cause of Death: Consumption
Signed:  Not Listed
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 08 May 1911
Transcribed by Debbie Tamborski, 24 June 2008