DEATH CERTIFICATE

ADALINE WHITEHEAD

Date     1911
Deathvol Vol:   1911
Cert: # 19339
Name: Adaline WHITEHEAD
Female, White, Widow
Age: 61 years, 8 months, 12 days
Place of Death: Voting Pct. No. 7, Perry Co., KY
Birth Date: 15 September 1849
Place of Birth: Tennessee
Father: William DOULIN                                                   Birthplace Father: Tennessee
Mother: Nancy DOULIN                                                    Birthplace Mother: Tenn.
Informant: Wm. WHITEHEAD
Death Date: Not Listed
Cause of Death: Not Listed
Signed:  Not Listed
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 18 July 1911
Transcribed by Debbie Tamborski, 25 June 2008